{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:49:42Z","timestamp":1753876182783,"version":"3.41.2"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2019,7,14]],"date-time":"2019-07-14T00:00:00Z","timestamp":1563062400000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Systemic lupus erythematosus (SLE) is known to cause inappropriate sinus tachycardia (IST). However, there is limited evidence available with regard to the treatment of IST in this setting. In this article, we report a case of drug refractory IST in a patient with SLE treated with radiofrequency catheter ablation (RFCA) using a non-contact mapping system.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>A 33-year-old woman had been diagnosed with SLE in 2001. She presented with complaints of persistent palpitations for 1\u2009month and persistent sinus tachycardia. She underwent RFCA using a non-contact mapping system for drug refractory IST. The voltage and activation maps did not show obvious differences in the earliest activation site at heart rates (HRs) 90\u2013150\u2009b.p.m. In contrast, the areas of breakout sites were clearly distinguished between those from the normal P-wave zones at HR &lt;140\u2009b.p.m. and those from higher rate sites at HR &gt;140\u2009b.p.m. Radiofrequency catheter ablation was performed in those areas as the target for ablation. Thereafter, the symptoms steadily disappeared and the maximum HR\u2014using 24-h Holter monitoring\u2014decreased from 156 to 120\u2009b.p.m.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Radiofrequency catheter ablation using a non-contact mapping system was applied to the treatment of drug refractory IST in a patient with SLE. Of note, IST in such patients may be left untreated. This approach may be considered as a first-line therapy option for drug refractory IST in patients with SLE.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytz102","type":"journal-article","created":{"date-parts":[[2019,7,14]],"date-time":"2019-07-14T10:26:01Z","timestamp":1563099961000},"source":"Crossref","is-referenced-by-count":2,"title":["Radiofrequency catheter ablation for inappropriate sinus tachycardia in a patient with systemic lupus erythematosus: a case report"],"prefix":"10.1093","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8790-9169","authenticated-orcid":false,"given":"Reisuke","family":"Yoshizawa","sequence":"first","affiliation":[{"name":"Division of Cardiology, Department of Internal Medicine, Iwate Medical University School of Medicine, 19-1 Uchimaru, Morioka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Komatsu","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Internal Medicine, Iwate Medical University School of Medicine, 19-1 Uchimaru, Morioka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaori","family":"Kojima","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Internal Medicine, Iwate Medical University School of Medicine, 19-1 Uchimaru, Morioka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shingen","family":"Owada","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Internal Medicine, Iwate Medical University School of Medicine, 19-1 Uchimaru, Morioka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,7,13]]},"reference":[{"key":"2019092712320170100_ytz102-B1","doi-asserted-by":"crossref","first-page":"e41","DOI":"10.1016\/j.hrthm.2015.03.029","article-title":"2015 Heart Rhythm Society expert consensus statement on the diagnosis and treatment of postural tachycardia syndrome, inappropriate sinus tachycardia, and vasovagal syncope","volume":"12","author":"Sheldon","year":"2015","journal-title":"Heart Rhythm"},{"key":"2019092712320170100_ytz102-B2","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1016\/j.jacc.2012.07.074","article-title":"Inappropriate sinus tachycardia","volume":"61","author":"Olshansky","year":"2013","journal-title":"J Am Coll Cardiol"},{"key":"2019092712320170100_ytz102-B3","doi-asserted-by":"crossref","first-page":"1015","DOI":"10.1016\/j.hrthm.2005.05.002","article-title":"How to manage patients with inappropriate sinus tachycardia","volume":"2","author":"Shen","year":"2005","journal-title":"Heart Rhythm"},{"key":"2019092712320170100_ytz102-B4","doi-asserted-by":"crossref","first-page":"702","DOI":"10.7326\/0003-4819-91-5-702","article-title":"Chronic nonparoxysmal sinus tachycardia in otherwise healthy persons","volume":"91","author":"Bauernfeind","year":"1979","journal-title":"Ann Intern Med"},{"key":"2019092712320170100_ytz102-B5","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1161\/01.CIR.90.2.873","article-title":"Mechanism of \u2018inappropriate\u2019 sinus tachycardia. 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