Tachycardia induced cardiomyopathy due to ectopic atrial tachycardia originating from the atrial appendage: A case series and review of literature

This case series describes four cases of tachycardia-induced cardiomyopathy due to incessant ectopic atrial tachycardias from the atrial appendage (three from the right atrial appendage, one from the left). P wave morphology changes on surface 12-lead electrocardiogram can be used to diagnose this r...

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Main Authors: Abhinav Aggarwal, Anil Yadav, Ankit Jain, Anunay Gupta
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Indian Pacing and Electrophysiology Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0972629225000191
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author Abhinav Aggarwal
Anil Yadav
Ankit Jain
Anunay Gupta
author_facet Abhinav Aggarwal
Anil Yadav
Ankit Jain
Anunay Gupta
author_sort Abhinav Aggarwal
collection DOAJ
description This case series describes four cases of tachycardia-induced cardiomyopathy due to incessant ectopic atrial tachycardias from the atrial appendage (three from the right atrial appendage, one from the left). P wave morphology changes on surface 12-lead electrocardiogram can be used to diagnose this relatively rare subset of tachycardias and localise the site of origin. Tachycardia induced cardiomyopathy is relatively more common in atrial tachycardias from the atrial appendage as compared to tachycardia from other sites1,2. Radiofrequency ablation is the treatment of choice and is associated with a high success rate. Oral ivabradine is another treatment option for cases where ablation is unsuccessful or if the patient is unwilling for ablation. For rare cases refractory to other treatment measures, surgical excision of the atrial appendage may be needed.
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publishDate 2025-03-01
publisher Elsevier
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series Indian Pacing and Electrophysiology Journal
spelling doaj-art-7f2d0e36adeb4cb8b59d7c3b54b12b0a2025-08-20T01:49:32ZengElsevierIndian Pacing and Electrophysiology Journal0972-62922025-03-0125211211710.1016/j.ipej.2025.03.001Tachycardia induced cardiomyopathy due to ectopic atrial tachycardia originating from the atrial appendage: A case series and review of literatureAbhinav Aggarwal0Anil Yadav1Ankit Jain2Anunay Gupta3Department of Cardiology, VMMC & Safdurjung Hospital, IndiaDepartment of Cardiology, VMMC & Safdurjung Hospital, IndiaDepartment of Cardiology, VMMC & Safdurjung Hospital, IndiaCorresponding author. Room 122, Department of Cardiology, VMMC & Safdurjung Hospital, India.; Department of Cardiology, VMMC & Safdurjung Hospital, IndiaThis case series describes four cases of tachycardia-induced cardiomyopathy due to incessant ectopic atrial tachycardias from the atrial appendage (three from the right atrial appendage, one from the left). P wave morphology changes on surface 12-lead electrocardiogram can be used to diagnose this relatively rare subset of tachycardias and localise the site of origin. Tachycardia induced cardiomyopathy is relatively more common in atrial tachycardias from the atrial appendage as compared to tachycardia from other sites1,2. Radiofrequency ablation is the treatment of choice and is associated with a high success rate. Oral ivabradine is another treatment option for cases where ablation is unsuccessful or if the patient is unwilling for ablation. For rare cases refractory to other treatment measures, surgical excision of the atrial appendage may be needed.http://www.sciencedirect.com/science/article/pii/S0972629225000191Atrial tachycardiaTachycardia induced cardiomyopathyAtrial appendageIvabradineElectrophysiologyRadiofrequency ablation
spellingShingle Abhinav Aggarwal
Anil Yadav
Ankit Jain
Anunay Gupta
Tachycardia induced cardiomyopathy due to ectopic atrial tachycardia originating from the atrial appendage: A case series and review of literature
Indian Pacing and Electrophysiology Journal
Atrial tachycardia
Tachycardia induced cardiomyopathy
Atrial appendage
Ivabradine
Electrophysiology
Radiofrequency ablation
title Tachycardia induced cardiomyopathy due to ectopic atrial tachycardia originating from the atrial appendage: A case series and review of literature
title_full Tachycardia induced cardiomyopathy due to ectopic atrial tachycardia originating from the atrial appendage: A case series and review of literature
title_fullStr Tachycardia induced cardiomyopathy due to ectopic atrial tachycardia originating from the atrial appendage: A case series and review of literature
title_full_unstemmed Tachycardia induced cardiomyopathy due to ectopic atrial tachycardia originating from the atrial appendage: A case series and review of literature
title_short Tachycardia induced cardiomyopathy due to ectopic atrial tachycardia originating from the atrial appendage: A case series and review of literature
title_sort tachycardia induced cardiomyopathy due to ectopic atrial tachycardia originating from the atrial appendage a case series and review of literature
topic Atrial tachycardia
Tachycardia induced cardiomyopathy
Atrial appendage
Ivabradine
Electrophysiology
Radiofrequency ablation
url http://www.sciencedirect.com/science/article/pii/S0972629225000191
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AT ankitjain tachycardiainducedcardiomyopathyduetoectopicatrialtachycardiaoriginatingfromtheatrialappendageacaseseriesandreviewofliterature
AT anunaygupta tachycardiainducedcardiomyopathyduetoectopicatrialtachycardiaoriginatingfromtheatrialappendageacaseseriesandreviewofliterature