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September 10, 2025Journal of Innovations in Cardiac Rhythm ManagementOpen Access

Functional Substrate Mapping of the Right Atrium: A Novel Method to Identify Critical Isthmus of Re-entry in Atrial Tachycardia

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Authors

HYHikmet YorgunCÇCem ÇöteliGKGül Sinem Kılıç

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Overview

Observational analysis identifies critical isthmus in atrial tachycardia, suggesting functional substrate mapping enhances treatment.

Key Points

  • Functional substrate mapping effectively identifies the critical isthmus of atrial tachycardia.
  • The study mapped 36 atrial tachycardias with an 80.8% predictive value for identifying critical isthmus.
  • Deceleration zones in low-voltage regions guide tailored ablation strategies for treating atrial scar.
  • Despite macro-re-entry being common, findings highlight the significance of functional substrate mapping for non-cavotricuspid isthmus-dependent tachycardias.

Cite This Study

Yorgun et al. (2025) studied this question.

synapsesocial.com/papers/68c1bb7054b1d3bfb60ed818https://doi.org/10.19102/icrm.2025.16073
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