IMR Press / RCM / Volume 23 / Issue 1 / DOI: 10.31083/j.rcm2301001
Open Access Case Report
Management of macro-reentrant right atrial tachycardia around multiple leads aided by high-density mapping
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1 Translational Medicine Department, Cardiological Center, University of Ferrara, 44124 Ferrara, Italy
*Correspondence: matteo.bertini@unife.it (Matteo Bertini)
Academic Editor: Peter A. McCullough
Rev. Cardiovasc. Med. 2022, 23(1), 1; https://doi.org/10.31083/j.rcm2301001
Submitted: 20 November 2021 | Revised: 22 November 2021 | Accepted: 22 November 2021 | Published: 4 January 2022
Copyright: © 2022 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
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
Right atrial tachycardia
High density mapping
Critical isthmus
Figures
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