(c) Atrial tachycardia
was documented on twenty-four-hour ambulatory Holter monitoring before the operation.
Out of 50 patients with narrow complex tachycardia, 28 (56%) patients were of atrioventricular nodal reentry type (AVNRT), 17 (34%) patients were of atrioventricular reentrant tachycardia type (AVRT), 4 (8%) patients were of atrial tachycardia
and only one (2%) patient was of atrial fibrillation type.
Out of which pathways were 131 (124 patients were having Wolff-Parkinson-White (WPW) and orthodromic reciprocating tachycardia7), atrial tachycardia
(AT) 5 and 133 were atrio-ventricular reentry tachycardia (AVNRT).
An irregular rhythm and the absence of P waves (or the presence of fibrillatory waves) characterizes atrial fibrillation; irregularity and [greater than or equal to] 3 different P wave morphologies is suggestive of multifocal atrial tachycardia
. Other possibilities include frequent premature atrial contractions or a sinoatrial or AV nodal conduction block.
For example, if the RP interval is significantly shorter during ventricular pacing than during tachycardia, the P wave is not likely to be retrograde and the diagnosis is likely to be sinus or ectopic atrial tachycardia
. Pacing manoeuvres do not usually terminate JET; other forms of supra-ventricular tachycardia (SVT) should be considered if this occurs.
Focal atrial tachycardia
originating from the musculature of the coronary sinus.
The term incisional atrial tachycardia
is used when the re-entry zone is localized around postoperative scar1.
A meta-analysis including 109,798 patients revealed patients who are taking PPIs are at higher risk of hypomagnesemia, which has been associated with various cardiovascular arrhythmias including widening QRS complexes, frequent atrial and ventricular premature systoles and sustained atrial fibrillation.3 A study done on patients with focal atrial tachycardia
(AT) and right ventricular outflow tract ventricular tachycardia (RVOT VT) revealed increased odds of focal arrhythmias and RVOT VT associated with use of PPIs.4
The patient's subsequent ECGs demonstrated various cardiac arrhythmias including sinus rhythm with premature atrial contractions, sinus arrhythmias, and multifocal atrial tachycardia
(Figure 2) which spontaneously resolved.
Procedures performed among 163 patients who underwent a cryoablation procedure Procedure N (%) Cryoablation pulmonary vein isolation 163 (100.0%) Cryoablation plus radiofrequency to 18 (11.0%) complete the pulmonary vein isolation Cryoablation plus balloon lesions to 20 (12.3%) nonpulmonary vein areas Cryoablation plus radiofrequency to 17 (10.4%) nonpulmonary vein areas Cryoablation plus typical atrial 33 (20.3%) flutter ablation Cryoablation plus ablation on 1 (0.6%) nonpulmonary vein atrial tachycardia
* Some patients had more than one concomitant site treated.
AF converted to atrial tachycardia
and ultimately to sinus rhythm.
Lung disease may lead to atrial dilatation and AF, AFL or multifocal atrial tachycardia