The roles of pre–P-wave versus peri–P-wave fractionated electrograms for atrial substrate beyond entrainment response

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dc.authorid0000-0002-3871-9219
dc.contributor.authorEfe, Tolga Han
dc.contributor.authorMerovci, Idriz
dc.contributor.authorÖksüz, Fatih
dc.contributor.authorEriş, Erdeniz
dc.contributor.authorKara, Meryem
dc.contributor.authorKoçyiğit Burunkaya, Duygu
dc.contributor.authorÖzcan Çetin, Elif Hande
dc.contributor.authorKorkmaz, Ahmet
dc.contributor.authorÖzeke, Özcan
dc.contributor.authorÇay, Serkan
dc.contributor.authorÖzcan, Fırat
dc.contributor.authorAras, Dursun
dc.date.accessioned2023-08-22T08:56:56Z
dc.date.available2023-08-22T08:56:56Z
dc.date.issued2023
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalı
dc.description.abstractAtrial tachycardia (AT) with alternating cycle lengths is sparsely reported, and, hence, the ideal mapping strategy has not been firmly established. Beyond the entrainment during tachycardia, some fragmentation characteristics might also give important clues for its possible participation in the macro–re-entrant circuit. We discuss a patient with prior atrial septal defect surgical closures who presented with dual macro–re-entrant ATs related to a fragmented area on the right atrial free wall (240 ms) and the cavotricuspid isthmus (260 ms), respectively. After ablation of the fastest AT on the lateral right atrial free wall, the cycle of the first AT changed to the second AT that was interrupted on cavotricuspid isthmus, proving the dual tachycardia mechanism. This case report addresses the utilization of electroanatomic mapping information as well as fractionated electrogram timing with respect to the surface P-wave as guides for ablation location.
dc.identifier.citationEfe, T. H., Merovci, I., Öksüz, F., Eriş, E., Kara, M., Koçyiğit Burunkaya, D. ... Aras, D. (2023). The roles of pre–P-wave versus peri–P-wave fractionated electrograms for atrial substrate beyond entrainment response. Journal of Innovations in Cardiac Rhythm Management, 14(6), 5465-5470. https://dx.doi.org/10.19102/icrm.2023.14065
dc.identifier.doi10.19102/icrm.2023.14065
dc.identifier.endpage5470
dc.identifier.issn2156-3977
dc.identifier.issn2156-3993
dc.identifier.issue6
dc.identifier.pmid37388421
dc.identifier.scopus2-s2.0-85166918417
dc.identifier.scopusqualityQ3
dc.identifier.startpage5465
dc.identifier.urihttps://dx.doi.org/10.19102/icrm.2023.14065
dc.identifier.urihttps://hdl.handle.net/20.500.12511/11353
dc.identifier.volume14
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorAras, Dursun
dc.language.isoen
dc.publisherMediaSphere Medical LLC
dc.relation.ispartofJournal of Innovations in Cardiac Rhythm Managementen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subject2:1 Intra-Atrial Block
dc.subjectAtrial Tachycardia
dc.subjectDouble Tachycardia
dc.subjectDual Loop
dc.subjectFragmentation
dc.subjectMultiple Loops
dc.titleThe roles of pre–P-wave versus peri–P-wave fractionated electrograms for atrial substrate beyond entrainment response
dc.typeArticle

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