Flutter localized to the anterior left atrium after catheter ablation of atrial fibrillation

Journal of Cardiovascular Electrophysiology
Pierre JaïsMichel Haïssaguerre

Abstract

Organized atrial arrhythmias following atrial fibrillation (AF) ablation are typically due to recovered pulmonary vein (PV) conduction or reentry at incomplete ablation lines. We describe the role of nonablated anterior left atrium (LA) in arrhythmias observed after AF ablation. A total of 275 consecutive patients with paroxysmal (n = 200) or chronic (n = 75) AF had PV isolation with/without additional linear ablation at the mitral isthmus (n = 106), LA roof (n = 23), or both (n = 88). Organized arrhythmias occurring after ablation were evaluated utilizing activation and entrainment mapping. Fourteen patients (11 female, 65 +/- 13 years, 10 chronic AF, 10 structural heart disease) demonstrated tachycardia localized to the anterior LA, an area not targeted by prior ablation. Eight had ECG features during sinus rhythm suggestive of impaired anterior LA conduction at baseline. These arrhythmias demonstrated a distinctive ECG flutter morphology in 7 of 10 (70%) with discrete -/+ or +/-/+ aspect in inferior leads. Mapping the anterior LA revealed electrograms spanning the entire tachycardia cycle length (325 +/- 125 msec). Entrainment was possible in all with a postpacing interval exceeding the tachycardia cycle length by 9 +/- 10 m...Continue Reading

References

Nov 1, 1995·Journal of the American College of Cardiology·C W TangM D Lesh
Sep 3, 1998·The New England Journal of Medicine·M HaïssaguerreJ Clémenty
Jun 28, 2000·Circulation·P JaïsJ Clémenty
Jun 25, 2003·Journal of the American College of Cardiology·Peter M KistlerJonathan M Kalman
May 12, 2004·Circulation·Nassir F MarroucheMelvin M Scheinman
Jun 3, 2004·Journal of the American College of Cardiology·Koonlawee NademaneeTachapong Ngarmukos
Sep 9, 2004·Circulation·Edward P GerstenfeldFrancis E Marchlinski
Oct 16, 2004·Journal of Cardiovascular Electrophysiology·Carlo Pappone, Vincenzo Santinelli
Nov 3, 2004·Circulation·Pierre JaïsMichel Haïssaguerre
Dec 3, 2004·Journal of Cardiovascular Electrophysiology·Atul VermaAndrea Natale
Dec 22, 2004·Journal of Cardiovascular Electrophysiology·Mélèze HociniMichel Haïssaguerre

❮ Previous
Next ❯

Citations

Mar 3, 2012·Herz·M SchmidtE Hoffmann
Apr 17, 2008·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Thomas RostockStephan Willems
Mar 6, 2012·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Hugh CalkinsDavid Wilber
Sep 24, 2011·Cardiology Research and Practice·Sergio Castrejón-CastrejónJosé L Merino
Dec 19, 2015·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Martin SchmidtEllen Hoffmann
Jul 19, 2011·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Mélèze HociniMichel Haïssaguerre
Mar 6, 2010·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Daniel StevenWilliam G Stevenson
Feb 12, 2009·Journal of Cardiovascular Electrophysiology·Pierre JaïsMichel Haïssaguerre
Nov 1, 2007·Annals of Noninvasive Electrocardiology : the Official Journal of the International Society for Holter and Noninvasive Electrocardiology, Inc·Damian P RedfearnGeorge J Klein
Mar 11, 2009·Pacing and Clinical Electrophysiology : PACE·George D VeenhuyzenMichel Haïssaguerre
Mar 25, 2008·Pacing and Clinical Electrophysiology : PACE·Barbara J DealCarl L Backer
Sep 4, 2007·Journal of Cardiovascular Electrophysiology·Shih-Lin ChangShih-Ann Chen
Jun 23, 2007·Pacing and Clinical Electrophysiology : PACE·Franco ZoppoPietro Pascotto
Apr 27, 2011·Pacing and Clinical Electrophysiology : PACE·Niraj Varma
May 12, 2010·Journal of Cardiovascular Electrophysiology·Yanfei YangMelvin M Scheinman
Dec 21, 2012·Journal of Cardiovascular Electrophysiology·Michael C G WongPeter M Kistler
Oct 19, 2013·Journal of Cardiovascular Electrophysiology·Martin SchmidtEllen Hoffmann
Oct 16, 2015·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Arian SultanStephan Willems
Sep 24, 2015·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Hideyuki HaraMasahiro Karakawa
Jul 17, 2013·International Journal of Cardiology·Antonio De SistiFrançoise Hidden-Lucet
Jul 12, 2018·IEEE Transactions on Bio-medical Engineering·Tobias G OesterleinOlaf Dossel
Mar 21, 2015·Circulation. Arrhythmia and Electrophysiology·Elad AnterMark E Josephson
Sep 26, 2007·Circulation·Mark D O'NeillMichel Haïssaguerre
Dec 17, 2008·Current Opinion in Cardiology·Dipen Shah
Jun 24, 2008·Expert Review of Cardiovascular Therapy·Apoor Patel, Steven M Markowitz
Sep 1, 2011·Expert Review of Cardiovascular Therapy·Thomas DenekeDong-In Shin
Oct 11, 2017·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Hugh CalkinsUNKNOWN Document Reviewers:
Oct 4, 2019·Journal of Cardiovascular Electrophysiology·Steven M MarkowitzBruce B Lerman
Jul 1, 2017·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Sri SundaramSunil Nath
Sep 26, 2019·Frontiers in Physiology·Nele VandersickelAlexander V Panfilov
Mar 20, 2021·JACC. Clinical Electrophysiology·Christopher F LiuBruce B Lerman
Apr 5, 2021·JACC. Clinical Electrophysiology·Enid Van NieuwenhuyseNele Vandersickel

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atrial Filbrillation

Atrial fibrillation refers to the abnormal heart rhythm characterized by rapid and irregular beating of the atria. Here is the latest research.

Cardiac Conduction System

The cardiac conduction system is a specialized tract of myocardial cells responsible for maintaining normal cardiac rhythm. Discover the latest research on the cardiac conduction system here.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.