title: Catheter ablation of inappropriate sinus tachycardia.
abstract: Catheter ablation for inappropriate sinus tachycardia (IST) is recommended for patients symptomatic for palpitations and refractory to other treatments. The current approach consists in sinus node modification (SNM), achieved by ablation of the cranial part of the sinus node to eliminate faster sinus rates while trying to preserve chronotropic competence. This approach has a limited efficacy, with a very modest long-term clinical success. To overcome this, proper patient selection is crucial and an epicardial approach should always be considered. This brief review will discuss the current role and limitations of catheter ablation in the management of patients with IST.
authors: Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA.|Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
authors: Carola
authors: C
authors: Gianni
authors: Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA.|Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.|Department of Biomedical Engineering, University of Texas, Austin, TX, USA.|Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.
authors: Luigi
authors: L
authors: Di Biase
authors: Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA.
authors: Sanghamitra
authors: S
authors: Mohanty
authors: Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA.
authors: Yalçın
authors: Y
authors: Gökoğlan
authors: Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA.
authors: Mahmut F
authors: MF
authors: Güneş
authors: Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA.|Department of Biomedical Engineering, University of Texas, Austin, TX, USA.
authors: Rodney
authors: R
authors: Horton
authors: Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA.
authors: Patrick M
authors: PM
authors: Hranitzky
authors: Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA.
authors: J David
authors: JD
authors: Burkhardt
authors: Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA. dr.natale@gmail.com.|Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA. dr.natale@gmail.com.|Department of Biomedical Engineering, University of Texas, Austin, TX, USA. dr.natale@gmail.com.|Case Western Reserve University School of Medicine, MetroHealth Medical Center, Cleveland, OH, USA. dr.natale@gmail.com.|Division of Cardiology, Stanford University, Stanford, CA, USA. dr.natale@gmail.com.|Electrophysiology and Arrhythmia Services, California Pacific Medical Center, San Francisco, CA, USA. dr.natale@gmail.com.|Interventional Electrophysiology, Scripps Clinic, La Jolla, CA, USA. dr.natale@gmail.com.|Dell Medical School, University of Texas, Austin, TX, USA. dr.natale@gmail.com.
authors: Andrea
authors: A
authors: Natale
mesh_terms: D000319:Adrenergic beta-Antagonists / Q000008:administration & dosage*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D017115:Catheter Ablation / Q000009:adverse effects / Q000379:methods*; D019317:Evidence-Based Medicine; D006801:Humans; D018579:Patient Selection; D011300:Preoperative Care / Q000379:methods*; D011379:Prognosis; D012849:Sinoatrial Node / Q000000981:diagnostic imaging / Q000601:surgery*; D025321:Surgery, Computer-Assisted / Q000379:methods; D013616:Tachycardia, Sinus / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome
chemical_list: D000319:Adrenergic beta-Antagonists
keywords: Catheter ablation; Inappropriate sinus tachycardia; Sinus node modification