Evidence map›Paper›PMID 37691082›Full record

ArticleJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2024

High-resolution mapping of the circuit of typical atrioventricular nodal reentrant tachycardia.

Demosthenes G Katritsis, Nikolaos Fragakis, George Katritsis, Vasileios Doukas, Joseph E Marine, Amrish Desmukh, Rakesh Latchamsetty, Robert H Anderson, Hugh Calkins

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Article in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Demosthenes G KatritsisHygeia Hospital, 4 Erythrou Stavrou Str, 15123, Athens, Greece. dkatrits@dgkatritsis.gr.ORCID http://orcid.org/0000-0002-0696-8376
Nikolaos FragakisAristotelian University of Thessaloniki, Thessaloniki, Greece.
George KatritsisImperial College Healthcare NHS Trust, London, UK.
Vasileios DoukasHygeia Hospital, 4 Erythrou Stavrou Str, 15123, Athens, Greece.
Joseph E MarineJohns Hopkins Hospital, Baltimore, MD, USA.
Amrish DesmukhUniversity of Michigan Medical School, Ann Arbor, MI, USA.
Rakesh LatchamsettyUniversity of Michigan Medical School, Ann Arbor, MI, USA.
Robert H AndersonBiosciences Institute, Newcastle University, Newcastle Upon Tyne, UK.
Hugh CalkinsJohns Hopkins Hospital, Baltimore, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent anatomic and electrophysiologic evidence has provided new insight into the anatomic substrate. Previous reports on electroanatomic mapping (EAM) of the circuit of atrioventricular nodal reentrant tachycardia (AVNRT) have been limited by mapping only the triangle of Koch on the right side of the septum and by the use of conventional mapping tools. The objectives are to obtain comprehensive high-resolution mapping of typical AVNRT and to investigate the role of the atrioventricular ring tissues in the circuit.

methodsWe employed EAM with the use of novel modules and algorithms for studying typical AVNRT from the right and the left sides of the septum.

resultsWe performed extensive mapping of both the atrial septum and the septal vestibule of the tricuspid valve during typical AVNRT in 9 (6 females) patients, aged 49.6 ± 12.1 years. In two of these, left septal mapping was also obtained through the aorta. The earliest initial activation was variable, emanating from the superior or medial septum. The impulse consistently appeared below the orifice of the coronary sinus, at the site where its inferoanterior margin merged with the septal vestibule of the tricuspid valve at its entrance to the right atrium. It then returned to the initial activation site, presumably through the septal vestibular myocardium. The left septal activation area corresponded to that recorded on the right side.

conclusionsTypical AVNRT uses a circuit confined within the pyramid of Koch from the AV node to the septal isthmus, involving the myocardial walls of the pyramidal space.

Indexed as

Atrial SeptumCatheter AblationTachycardia, Atrioventricular Nodal ReentryAtrioventricular NodeElectrocardiographyFemaleHeart AtriaHumansMyocardiumAtrioventricularCircuitMappingNodalTachycardia

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.