Change in atrial activation patterns during narrow complex tachycardia: What is the mechanism?
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info:eu-repo/semantics/openAccessAttribution 4.0 Internationalhttps://creativecommons.org/licenses/by/4.0/Tarih
2022Yazar
Hidayet, ŞihoKorkmaz, Ahmet
Turan, Turhan
Tunçez, Abdullah
Kara, Meryem
Özcan Çetin, Elif Hande
Özeke, Özcan
Çay, Serkan
Özcan, Fırat
Aras, Dursun
Topaloğlu, Serkan
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Hidayet, Ş., Korkmaz, A., Turan, T., Tunçez, A., Kara, M., Özcan Çetin, E. H. ... Topaloğlu, S. (2022). Change in atrial activation patterns during narrow complex tachycardia: What is the mechanism? Journal of Innovations in Cardiac Rhythm Management, 13(9), 5176-5180. https://doi.org/10.19102/icrm.2022.130901Özet
A change in the coronary sinus (CS) activation pattern from an eccentric to a concentric pattern during the ablation of an orthodromic reciprocating tachycardia might falsely suggest the presence of a second (septal) accessory pathway (AP) during tachycardia or the successful ablation of the left lateral AP under ventricular pacing despite persistent and unaffected AP conduction. Complete or partial intra-atrial block should be suspected when an abrupt change in the atrial activation sequence is noted during catheter ablation at the posterolateral and lateral aspects of the mitral annulus. The correct anatomical position of the CS catheter plays a vital role in the differential diagnosis of this situation.
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Journal of Innovations in Cardiac Rhythm ManagementCilt
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