{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T17:43:16Z","timestamp":1775929396008,"version":"3.50.1"},"reference-count":14,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,6,15]],"date-time":"2025-06-15T00:00:00Z","timestamp":1749945600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,6,15]],"date-time":"2025-06-15T00:00:00Z","timestamp":1749945600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2025,7]]},"abstract":"ABSTRACT<\/jats:title>\n \n Introduction<\/jats:title>\n High\u2010density mapping is useful for common atrioventricular nodal re\u2010entrant tachycardia (AVNRT) ablation. This study aimed to evaluate the effective targets for slow pathway (SP) ablation using voltage\u2010gradient mapping.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Fifty\u2010two patients diagnosed with slow\/fast AVNRT were enrolled. Patients underwent SP ablation using either a voltage\u2010gradient map (\n n<\/jats:italic>\n = 20) or a conventional approach based on anatomic and electrophysiological findings (\n n<\/jats:italic>\n = 32). The Ensite X EP system was used as the 3\u2010D mapping system in all patients. The target CA site was defined as the location at which the Jackman potential, with a voltage of <0.5\u00a0mV on the tricuspid annulus (TA) side of the pivot point, was confirmed by the creation of a voltage\u2010gradient map with the Advisor HD Grid SE.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The distance from the successful ablation site to the His bundle was significantly greater in the voltage\u2010gradient map group (15.0 (12.8\u201319.0) vs. 11.0 (8.0\u201313.0) mm,\n p<\/jats:italic>\n \u00a0<\u00a00.001), the junctional rhythm heart rate was slower (92.5 (78.8\u2013121.8) vs. 114.0 (96.8\u2013131.0) bpm,\n p<\/jats:italic>\n = 0.028), and the time to the appearance of junctional rhythm after radiofrequency application was shorter (4.0 (2.5\u20137.3) vs. 7.8 (6.6\u20138.6) s,\n p<\/jats:italic>\n = 0.002). Furthermore, the procedure time was also significantly shorter (53.5 (47.0\u201367.0) vs. 99.5 (76.3\u2013112.5) min,\n p<\/jats:italic>\n < 0.001) in the voltage\u2010gradient map group.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The site at which the Jackman potential was confirmed, with a voltage of <0.5\u00a0mV on the TA side from the pivot point drawn using the voltage\u2010gradient map, may be defined as the CA target of SP.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/pace.15223","type":"journal-article","created":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T01:49:26Z","timestamp":1750038566000},"page":"782-789","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Voltage\u2010Gradient Mapping\u2010Guided Slow Pathway Ablation in Typical Atrioventricular Nodal Re\u2010Entrant Tachycardia"],"prefix":"10.1111","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0513-242X","authenticated-orcid":false,"given":"Toshinori","family":"Komatsu","sequence":"first","affiliation":[{"name":"Department of Cardiology Shinshu University School of Medicine Nagano Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8342-1163","authenticated-orcid":false,"given":"Ayako","family":"Okada","sequence":"additional","affiliation":[{"name":"Department of Cardiology Shinshu University School of Medicine Nagano Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiu","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Cardiology Shinshu University School of Medicine Nagano Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8893-5278","authenticated-orcid":false,"given":"Hideki","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Cardiology Shinshu University School of Medicine Nagano Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasutaka","family":"Oguchi","sequence":"additional","affiliation":[{"name":"Department of Cardiology Shinshu University School of Medicine Nagano Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koichiro","family":"Kuwahara","sequence":"additional","affiliation":[{"name":"Department of Cardiology Shinshu University School of Medicine Nagano Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,15]]},"reference":[{"key":"e_1_2_13_2_1","first-page":"745","article-title":"Atrioventricular Nodal Block With Atrioventricular Nodal Reentrant Tachycardia Ablation","volume":"8","author":"Asirvatham S. J.","year":"2015","journal-title":"Circulation"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-021-01061-4"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-023-01589-7"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2024.05.037"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2015.03.046"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2020.04.039"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199207303270504"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.85.6.2162"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.97.2.188"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-018-0392-5"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.106.655746"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euab130"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-023-01589-7"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.122.011497"}],"container-title":["Pacing and Clinical Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.15223","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/pace.15223","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.15223","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T16:50:32Z","timestamp":1775926232000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pace.15223"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,15]]},"references-count":14,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1111\/pace.15223"],"URL":"https:\/\/doi.org\/10.1111\/pace.15223","archive":["Portico"],"relation":{},"ISSN":["0147-8389","1540-8159"],"issn-type":[{"value":"0147-8389","type":"print"},{"value":"1540-8159","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,15]]},"assertion":[{"value":"2025-02-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}