Evidence map›Paper›PMID 42065692›Full record

ArticleJACC. Case reports2026

Long-RP Tachycardia in a Professional Cyclist: From Smartwatch to Ablation.

Sara Coacci, Andrea Antonelli, Guido Guglielmo Michele De Ambroggi, Sara Foresti, Hussam Ali, Silvia Magnani, Pierpaolo Lupo, Riccardo Cappato, Francesco Bandera

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Sara CoacciCardiology Department, IRCCS MultiMedica, Sesto San Giovanni, Milan, Italy; Department of Biomedical Sciences for Health, University of Milan, Milan, Italy. Electronic address: sara.coacci@multimedica.it.
Andrea AntonelliCardiology Department, IRCCS MultiMedica, Sesto San Giovanni, Milan, Italy.
Guido Guglielmo Michele De AmbroggiCardiology Department, IRCCS MultiMedica, Sesto San Giovanni, Milan, Italy.
Sara ForestiCardiology Department, IRCCS MultiMedica, Sesto San Giovanni, Milan, Italy.
Hussam AliCardiology Department, IRCCS MultiMedica, Sesto San Giovanni, Milan, Italy.
Silvia MagnaniCardiology Department, IRCCS MultiMedica, Sesto San Giovanni, Milan, Italy.
Pierpaolo LupoCardiology Department, IRCCS MultiMedica, Sesto San Giovanni, Milan, Italy.
Riccardo CappatoCardiology Department, IRCCS MultiMedica, Sesto San Giovanni, Milan, Italy.
Francesco BanderaCardiology Department, IRCCS MultiMedica, Sesto San Giovanni, Milan, Italy; Department of Biomedical Sciences for Health, University of Milan, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLong RP tachycardias share similar clinical presentations and challenging electrocardiographic features which frequently lead to diagnostic uncertainty. When unrecognized or misdiagnosed, the incessant behavior may lead to tachycardiomyopathy. CASE SUMMARY: A 28-year-old asymptomatic professional cyclist presented after his Apple Watch repeatedly reported sustained elevated resting heart rate. Physical examination, laboratory results, imaging, and echocardiography were normal. Electrocardiogram showed narrow QRS tachycardia with negative P waves in inferior leads. Electrophysiological study excluded accessory pathways, localizing an ectopic atrial substrate at the posteroseptal tricuspid annulus. Radiofrequency ablation successfully eliminated the focal atrial tachycardia, restoring sinus rhythm. The Apple Watch confirmed stable heart rate normalization postprocedure and at follow-up. DISCUSSION: We emphasize the role of wearable devices in early arrhythmia detection and the diagnostic challenges posed by long RP tachycardias. TAKE-HOME MESSAGE: Smartwatches can fasten arrhythmias detection and management in asymptomatic athletes, and electrophysiological study remains essential for definitive supraventricular arrhythmias diagnosis.

Indexed as

ablationcoumel tachycardiaelectrophysiological studyfocal atrial tachycardiapermanent junctional reciprocating tachycardiasmartwatchessupraventricular tachycardia

Identifiers

PMID42065692
PMCPMC13379863

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Registered trials

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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.