Adenosine-induced atrial tachycardia and multiple foci initiating atrial fibrillation eliminated by catheter ablation using a non-contact mapping system

Heart Vessels. 2012 Mar;27(2):221-6. doi: 10.1007/s00380-011-0159-8. Epub 2011 Jun 8.

Abstract

A 47-year-old male with both atrial tachycardia and atrial fibrillation underwent catheter ablation. During the procedure, rapid administration of adenosine triphosphate induced atrial tachycardia. A non-contact mapping system revealed a focal atrial tachycardia originating from the lateral right atrium, which was successfully ablated. Following the ablation of tachycardia, atrial fibrillation was induced by the injection of adenosine along with multiple extra pulmonary vein foci, which were eliminated by the application of radiofrequency under the guidance of a non-contact mapping system.

Publication types

  • Case Reports

MeSH terms

  • Action Potentials
  • Adenosine Triphosphate*
  • Atrial Fibrillation / diagnosis
  • Atrial Fibrillation / physiopathology
  • Atrial Fibrillation / surgery*
  • Catheter Ablation*
  • Electrocardiography
  • Electrophysiologic Techniques, Cardiac*
  • Humans
  • Male
  • Middle Aged
  • Predictive Value of Tests
  • Tachycardia, Supraventricular / diagnosis
  • Tachycardia, Supraventricular / physiopathology
  • Tachycardia, Supraventricular / surgery*
  • Time Factors
  • Treatment Outcome

Substances

  • Adenosine Triphosphate