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atrial tachycardia

MedGen UID:
107485
•Concept ID:
C0546959
•
Disease or Syndrome
Synonym: Atrial tachycardia
SNOMED CT: Atrial tachycardia (276796006)
 
Monarch Initiative: MONDO:0005479

Definition

A disorder characterized by an electrocardiographic finding of an organized, regular atrial rhythm with atrial rate between 101 and 240 beats per minute. The P wave morphology must be distinct from the sinus P wave morphology. (CDISC) [from NCI]

Professional guidelines

PubMed

Common Types of Supraventricular Tachycardia: Diagnosis and Management.
Nasir M, Sturts A, Sturts A
Am Fam Physician 2023 Jun;107(6):631-641. PMID: 37327167
Supraventricular tachycardia: An overview of diagnosis and management.
Kotadia ID, Williams SE, O'Neill M
Clin Med (Lond) 2020 Jan;20(1):43-47. doi: 10.7861/clinmed.cme.20.1.3. PMID: 31941731Free PMC Article
2017 HRS/EHRA/ECAS/APHRS/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation.
Calkins H, Hindricks G, Cappato R, Kim YH, Saad EB, Aguinaga L, Akar JG, Badhwar V, Brugada J, Camm J, Chen PS, Chen SA, Chung MK, Nielsen JC, Curtis AB, Davies DW, Day JD, d'Avila A, de Groot NMSN, Di Biase L, Duytschaever M, Edgerton JR, Ellenbogen KA, Ellinor PT, Ernst S, Fenelon G, Gerstenfeld EP, Haines DE, Haissaguerre M, Helm RH, Hylek E, Jackman WM, Jalife J, Kalman JM, Kautzner J, Kottkamp H, Kuck KH, Kumagai K, Lee R, Lewalter T, Lindsay BD, Macle L, Mansour M, Marchlinski FE, Michaud GF, Nakagawa H, Natale A, Nattel S, Okumura K, Packer D, Pokushalov E, Reynolds MR, Sanders P, Scanavacca M, Schilling R, Tondo C, Tsao HM, Verma A, Wilber DJ, Yamane T
Heart Rhythm 2017 Oct;14(10):e275-e444. Epub 2017 May 12 doi: 10.1016/j.hrthm.2017.05.012. PMID: 28506916Free PMC Article

Recent clinical studies

Etiology

A Single Atrial Extrastimulation Resetting His Bundle During Supraventricular Tachycardia to Differentiate Atrial Tachycardia.
Inaba O, Inamura Y, Takagi T, Meguro S, Nakata K, Michishita T, Isonaga Y, Kono T, Tachibana S, Ikenouchi T, Ohya H, Murata K, Takamiya T, Sato A, Sasano T
JACC Clin Electrophysiol 2024 Jun;10(6):1120-1131. Epub 2024 Mar 27 doi: 10.1016/j.jacep.2024.02.007. PMID: 38551549
Outcomes and atrial substrate analysis in patients with HIV undergoing atrial fibrillation ablation.
Cheng A, Qiu J, Barbhaiya C, Garber L, Holmes D, Jankelson L, Kushnir A, Knotts R, Bernstein S, Park D, Spinelli M, Chinitz L, Aizer A
J Cardiovasc Electrophysiol 2023 Mar;34(3):575-582. Epub 2022 Dec 16 doi: 10.1111/jce.15774. PMID: 36511474
Catheter ablation or medical therapy to delay progression of atrial fibrillation: the randomized controlled atrial fibrillation progression trial (ATTEST).
Kuck KH, Lebedev DS, Mikhaylov EN, Romanov A, Gellér L, Kalējs O, Neumann T, Davtyan K, On YK, Popov S, Bongiorni MG, Schlüter M, Willems S, Ouyang F
Europace 2021 Mar 8;23(3):362-369. doi: 10.1093/europace/euaa298. PMID: 33330909Free PMC Article
Atrial tachycardia: mechanisms and management.
Patel A, Markowitz SM
Expert Rev Cardiovasc Ther 2008 Jul;6(6):811-22. doi: 10.1586/14779072.6.6.811. PMID: 18570619
Atrial fibrillation.
Bennett D
Eur Heart J 1984 Mar;5 Suppl A:89-93. doi: 10.1093/eurheartj/5.suppl_a.89. PMID: 6373290

Diagnosis

P-Wave Morphology in Focal Atrial Tachycardia: An Updated Algorithm to Predict Site of Origin.
Kistler PM, Chieng D, Tonchev IR, Sugumar H, Voskoboinik A, Schwartz LA, McLellan AJ, Prabhu S, Ling LH, Al-Kaisey A, Parameswaran R, Anderson RD, Lee G, Kalman JM
JACC Clin Electrophysiol 2021 Dec;7(12):1547-1556. Epub 2021 Jun 30 doi: 10.1016/j.jacep.2021.05.005. PMID: 34217661
Teriparatide-induced atrial tachycardia.
Ziffra JB Jr, Olshansky B
BMJ Case Rep 2018 Feb 27;2018 doi: 10.1136/bcr-2017-223035. PMID: 29487102Free PMC Article
Focal atrial tachycardia.
Rosso R, Kistler PM
Heart 2010 Feb;96(3):181-5. Epub 2009 May 13 doi: 10.1136/hrt.2008.143552. PMID: 19443472
'True' atrial tachycardia.
Steinbeck G, Hoffmann E
Eur Heart J 1998 May;19 Suppl E:E10-2, E48-9. PMID: 9717019
Multifocal atrial tachycardia.
McCord J, Borzak S
Chest 1998 Jan;113(1):203-9. doi: 10.1378/chest.113.1.203. PMID: 9440591

Therapy

Catheter ablation or medical therapy to delay progression of atrial fibrillation: the randomized controlled atrial fibrillation progression trial (ATTEST).
Kuck KH, Lebedev DS, Mikhaylov EN, Romanov A, Gellér L, Kalējs O, Neumann T, Davtyan K, On YK, Popov S, Bongiorni MG, Schlüter M, Willems S, Ouyang F
Europace 2021 Mar 8;23(3):362-369. doi: 10.1093/europace/euaa298. PMID: 33330909Free PMC Article
Effect of Catheter Ablation With Vein of Marshall Ethanol Infusion vs Catheter Ablation Alone on Persistent Atrial Fibrillation: The VENUS Randomized Clinical Trial.
Valderrábano M, Peterson LE, Swarup V, Schurmann PA, Makkar A, Doshi RN, DeLurgio D, Athill CA, Ellenbogen KA, Natale A, Koneru J, Dave AS, Giorgberidze I, Afshar H, Guthrie ML, Bunge R, Morillo CA, Kleiman NS
JAMA 2020 Oct 27;324(16):1620-1628. doi: 10.1001/jama.2020.16195. PMID: 33107945Free PMC Article
Effect of Renal Denervation and Catheter Ablation vs Catheter Ablation Alone on Atrial Fibrillation Recurrence Among Patients With Paroxysmal Atrial Fibrillation and Hypertension: The ERADICATE-AF Randomized Clinical Trial.
Steinberg JS, Shabanov V, Ponomarev D, Losik D, Ivanickiy E, Kropotkin E, Polyakov K, Ptaszynski P, Keweloh B, Yao CJ, Pokushalov EA, Romanov AB
JAMA 2020 Jan 21;323(3):248-255. doi: 10.1001/jama.2019.21187. PMID: 31961420Free PMC Article
Postablation Atrial Arrhythmias.
Kapa S
Card Electrophysiol Clin 2019 Dec;11(4):573-582. doi: 10.1016/j.ccep.2019.08.008. PMID: 31706466
Cryoballoon or Radiofrequency Ablation for Paroxysmal Atrial Fibrillation.
Kuck KH, Brugada J, Fürnkranz A, Metzner A, Ouyang F, Chun KR, Elvan A, Arentz T, Bestehorn K, Pocock SJ, Albenque JP, Tondo C; FIRE AND ICE Investigators
N Engl J Med 2016 Jun 9;374(23):2235-45. Epub 2016 Apr 4 doi: 10.1056/NEJMoa1602014. PMID: 27042964

Prognosis

Predictors of nonpulmonary vein triggers for atrial fibrillation: A clinical risk score.
Thind M, Oraii A, Chaumont C, Arceluz MR, Sekigawa M, Yogasundaram H, Sugrue A, Mirwais M, AlSalem AB, Zado ES, Guandalini GS, Markman TM, Deo R, Schaller RD, Dixit S, Epstein AE, Supple GE, Tschabrunn CM, Santangeli P, Callans DJ, Hyman MC, Nazarian S, Frankel DS, Marchlinski FE
Heart Rhythm 2024 Jun;21(6):806-811. Epub 2024 Jan 29 doi: 10.1016/j.hrthm.2024.01.048. PMID: 38296010
Marshall bundle elimination, Pulmonary vein isolation, and Line completion for ANatomical ablation of persistent atrial fibrillation (Marshall-PLAN): Prospective, single-center study.
Derval N, Duchateau J, Denis A, Ramirez FD, Mahida S, André C, Krisai P, Nakatani Y, Kitamura T, Takigawa M, Chauvel R, Tixier R, Pillois X, Sacher F, Hocini M, Haïssaguerre M, Jaïs P, Pambrun T
Heart Rhythm 2021 Apr;18(4):529-537. Epub 2020 Dec 29 doi: 10.1016/j.hrthm.2020.12.023. PMID: 33383226
Clinical and Electrophysiological Correlates of Incessant Ivabradine-Sensitive Atrial Tachycardia.
Banavalikar B, Shenthar J, Padmanabhan D, Valappil SP, Singha SI, Kottayan A, Ghadei M, Ali M
Circ Arrhythm Electrophysiol 2019 Aug;12(8):e007387. Epub 2019 Jul 26 doi: 10.1161/CIRCEP.119.007387. PMID: 31345093
Cryoballoon or Radiofrequency Ablation for Paroxysmal Atrial Fibrillation.
Kuck KH, Brugada J, Fürnkranz A, Metzner A, Ouyang F, Chun KR, Elvan A, Arentz T, Bestehorn K, Pocock SJ, Albenque JP, Tondo C; FIRE AND ICE Investigators
N Engl J Med 2016 Jun 9;374(23):2235-45. Epub 2016 Apr 4 doi: 10.1056/NEJMoa1602014. PMID: 27042964
Atrial pacing for the prevention and termination of atrial fibrillation.
Savelieva I, Camm AJ
Am J Geriatr Cardiol 2002 Nov-Dec;11(6):380-98. doi: 10.1111/j.1076-7460.2002.00072.x. PMID: 12417845

Clinical prediction guides

P-Wave Morphology in Focal Atrial Tachycardia: An Updated Algorithm to Predict Site of Origin.
Kistler PM, Chieng D, Tonchev IR, Sugumar H, Voskoboinik A, Schwartz LA, McLellan AJ, Prabhu S, Ling LH, Al-Kaisey A, Parameswaran R, Anderson RD, Lee G, Kalman JM
JACC Clin Electrophysiol 2021 Dec;7(12):1547-1556. Epub 2021 Jun 30 doi: 10.1016/j.jacep.2021.05.005. PMID: 34217661
Entrainment mapping: Theoretical considerations and practical implementation.
Schaeffer B, Stevenson WG
J Cardiovasc Electrophysiol 2018 Jan;29(1):204-213. Epub 2017 Oct 31 doi: 10.1111/jce.13348. PMID: 28940739
P-wave morphology in focal atrial tachycardia: development of an algorithm to predict the anatomic site of origin.
Kistler PM, Roberts-Thomson KC, Haqqani HM, Fynn SP, Singarayar S, Vohra JK, Morton JB, Sparks PB, Kalman JM
J Am Coll Cardiol 2006 Sep 5;48(5):1010-7. Epub 2006 Aug 17 doi: 10.1016/j.jacc.2006.03.058. PMID: 16949495
Adenosine-sensitive atrial tachycardia.
Kall JG, Kopp D, Olshansky B, Kinder C, O'Connor M, Cadman CS, Wilber D
Pacing Clin Electrophysiol 1995 Feb;18(2):300-6. doi: 10.1111/j.1540-8159.1995.tb02520.x. PMID: 7731878
Atrial fibrillation.
Bennett D
Eur Heart J 1984 Mar;5 Suppl A:89-93. doi: 10.1093/eurheartj/5.suppl_a.89. PMID: 6373290

Recent systematic reviews

Arrhythmias Beyond Atrial Fibrillation Detection Using Smartwatches: A Systematic Review.
Pay L, Yumurtaş AÇ, Satti DI, Hui JMH, Chan JSK, Mahalwar G, Lee YHA, Tezen O, Birdal O, Inan D, Özkan E, Tse G, Çinier G
Anatol J Cardiol 2023 Mar;27(3):126-131. doi: 10.14744/AnatolJCardiol.2023.2799. PMID: 36856589Free PMC Article
Revisiting the characteristics and ablation strategy of biatrial tachycardias: a case series and systematic review.
Lai Y, Guo Q, Sang C, Gao M, Huang L, Zuo S, Lu Z, Jiang C, Li S, Guo X, Wang W, Liu N, Li C, Liu X, Zhao X, Tang R, Long D, Du X, Dong J, Ma C
Europace 2023 Mar 30;25(3):905-913. doi: 10.1093/europace/euac231. PMID: 36563053Free PMC Article
Maternal focal atrial tachycardia during pregnancy: A systematic review.
Wang NC, Shen C, McLaughlin TJ, Li JZ, Hauspurg A, Berlacher KL, Bhonsale A, Jain SK, Kancharla K, Saba S
J Cardiovasc Electrophysiol 2020 Nov;31(11):2982-2997. Epub 2020 Sep 21 doi: 10.1111/jce.14738. PMID: 32897619Free PMC Article
Efficacy and safety of driver-guided catheter ablation for atrial fibrillation: A systematic review and meta-analysis.
Ramirez FD, Birnie DH, Nair GM, Szczotka A, Redpath CJ, Sadek MM, Nery PB
J Cardiovasc Electrophysiol 2017 Dec;28(12):1371-1378. Epub 2017 Sep 5 doi: 10.1111/jce.13313. PMID: 28800192
Catheter ablation for atrial fibrillation in hypertrophic cardiomyopathy: a systematic review and meta-analysis.
Providencia R, Elliott P, Patel K, McCready J, Babu G, Srinivasan N, Bronis K, Papageorgiou N, Chow A, Rowland E, Lowe M, Segal OR, Lambiase PD
Heart 2016 Oct 1;102(19):1533-43. Epub 2016 May 27 doi: 10.1136/heartjnl-2016-309406. PMID: 27234160

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