Management of macro-reentrant right atrial tachycardia around multiple leads aided by high-density mapping

Matteo Bertini; Daniela Mele; Francesco Vitali; Cristina Balla; Michele Malagù

doi:10.31083/j.rcm2301001

Management of macro-reentrant right atrial tachycardia around multiple leads aided by high-density mapping

Rev Cardiovasc Med. 2022 Jan 4;23(1):1. doi: 10.31083/j.rcm2301001.

Authors

Matteo Bertini¹, Daniela Mele¹, Francesco Vitali¹, Cristina Balla¹, Michele Malagù¹

Affiliation

¹ Translational Medicine Department, Cardiological Center, University of Ferrara, 44124 Ferrara, Italy.

PMID: 35092193
DOI: 10.31083/j.rcm2301001

Abstract

Background: A 61-year-old male with Steinert Dystrophy and prior history of cardiac implantable device complained of highly symptomatic right atrial tachycardia. Unresponsive to pharmacological therapy.

Methods: The patient underwent catheter ablation procedure aided by high-density mapping.

Results: Ablation procedure was succesful.

Conclusions: This unique case report highlights the role of high-density mapping in the identification of critical isthmus and management of macro-reentrant tachycardia in complex situations such as the presence of multiple leads in the chamber.

Keywords: Critical isthmus; High density mapping; Right atrial tachycardia.

Publication types

Case Reports

MeSH terms

Catheter Ablation* / adverse effects
Heart Atria
Humans
Male
Middle Aged
Tachycardia, Supraventricular* / etiology
Tachycardia, Ventricular*