{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T08:30:42Z","timestamp":1789201842190,"version":"build-2803163510"},"reference-count":16,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2007,4,20]],"date-time":"2007-04-20T00:00:00Z","timestamp":1177027200000},"content-version":"vor","delay-in-days":3427,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[1997,12]]},"abstract":"<jats:p>Inappropriate Sinus Tachycardia After Catheter Ablation. <jats:italic>Introduction<\/jats:italic>: Inappropriate sinus tachycardia (IST) has been observed following radiofrequency ablation (RFA) of the AV nodal fast pathway. This study was aimed to prospectively analyze the incidence and clinical significance of IST following RFA of para\u2010Hisian accessory pathways (APs).<\/jats:p><jats:p> <jats:italic>Methods and Results<\/jats:italic>: Twenty\u2010eight patients (pts) with para\u2010Hisian APs underwent RFA. An AP was defined as para\u2010Hisian whenever its atrial and ventricular insertions were associated with a His\u2010bundle potential \u2265 0.1 mV. RF current was always delivered at the atrial aspect of the tricuspid annulus. to a site where the His\u2010bundle potential was &lt; 0.15 mV. Time\u2010 and frequency\u2010domain analysis of heart rate variability was performed in 22 patients, before and after RFA. Abolition of AP conduction was obtained in all pts, and no AV conduction alteration occurred. Six pts (21.4%) presented with IST 45 to 240 minutes after the ablation procedure. In 5 of them, IST disappeared spontaneously within 72 hours, whereas in 1 pt \u03b2\u2010blockers were required for 2 months. The atrial potential amplitude (1.217 \u00b1 0.264 mV vs 0.882 \u00b1 0.173 mV, P = 0.009) and A\/V potential amplitude ratio (2.633 vs 1.686, P = 0.05) were significantly higher in pts who developed IST than in those who did not. A marked decrease in heart rate variability was observed only in pts who developed IST.<\/jats:p><jats:p> <jats:italic>Conclusion<\/jats:italic>: IST is a relatively frequent complication after RFA of para\u2010Hisian APs: it is generally short\u2010lasting and usually does not require any treatment. IST after catheter ablation is likely to depend upon transient parasympathetic denervation of the sinus node.<\/jats:p>","DOI":"10.1111\/j.1540-8167.1997.tb01032.x","type":"journal-article","created":{"date-parts":[[2007,4,20]],"date-time":"2007-04-20T14:53:07Z","timestamp":1177080787000},"page":"1357-1365","source":"Crossref","is-referenced-by-count":31,"title":["Inappropriate Sinus Tachycardia After Radiofrequency Ablation of Para\u2010Hisian Accessory Pathways"],"prefix":"10.1111","volume":"8","author":[{"given":"CARLO","family":"PAPPONE","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"GIUSEPPE","family":"STABILE","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"GIUSEPPE","family":"ORETO","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ANTONIO","family":"DE SIMONE","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MARIANO","family":"RILLO","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"PATRIZIO","family":"MAZZONE","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"RICCARDO","family":"CAPPATO","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"SERGIO","family":"CHIERCHIA","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2007,4,20]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(92)90872-V"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.1994.tb01434.x"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.90.3.1124"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.85.2.565"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.82.2.407"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(10)80289-X"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.90.2.873"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.92.10.2919"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.88.4.1671"},{"key":"e_1_2_1_11_2","first-page":"331","article-title":"Power spectrum of heart rate variability: A noninvasive lest of integrated neurocardiac function","volume":"2","author":"Fallen EL","year":"1988","journal-title":"Clin Invest Med"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.84.2.482"},{"key":"e_1_2_1_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.1986.tb05414.x"},{"key":"e_1_2_1_14_2","first-page":"H181","article-title":"Cholinergic innervation in intracardiac autonomic nerves in atrioventricular junctional area","volume":"239","author":"Motomura S","year":"1980","journal-title":"Am J Physiol"},{"key":"e_1_2_1_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01675298"},{"key":"e_1_2_1_16_2","first-page":"291","volume-title":"Cardiac Electrophysiology: From Cell to Bedside","author":"Randall WC","year":"1990"},{"key":"e_1_2_1_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/ar.1092240303"}],"container-title":["Journal of Cardiovascular Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1540-8167.1997.tb01032.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1540-8167.1997.tb01032.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T05:50:17Z","timestamp":1698385817000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1540-8167.1997.tb01032.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1997,12]]},"references-count":16,"journal-issue":{"issue":"12","published-print":{"date-parts":[[1997,12]]}},"alternative-id":["10.1111\/j.1540-8167.1997.tb01032.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1540-8167.1997.tb01032.x","archive":["Portico"],"relation":{},"ISSN":["1045-3873","1540-8167"],"issn-type":[{"value":"1045-3873","type":"print"},{"value":"1540-8167","type":"electronic"}],"subject":[],"published":{"date-parts":[[1997,12]]}}}