Management of patients with atrial tachycardia: a clinical consensus statement of the European Heart Rhythm Association (EHRA) of the ESC, endorsed by the Heart Rhythm Society (HRS), the Asia Pacific Heart Rhythm Society (APHRS), the Latin American H
Atrial tachycardias (AT) represent an increasingly recognized cause of morbidity and mortality. Over the past decade, the mechanistic understanding and therapeutic concepts guiding AT treatment have undergone rapid progress. Catheter ablation has become the most effective therapy for maintaining sinus rhythm in patients with regular AT, while mapping and ablation concepts and technologies have improved significantly. Accordingly, international cardiac electrophysiology professional societies aimed at outlining best practices on the management of regular AT, with a special focus on indications, timing, and technical aspects of AT mapping and ablation. After reviewing and discussing available evidence, including a systematic literature review and meta-analysis, an expert writing group summarized current knowledge and practice and has proposed strategies in the here outlined 10-Point Plan for SMART-AT care (Standardized Management and Ablation Roadmap for Treatment of Patients with Atrial Tachycardia).
Authors
- Helmut Pürerfellner (ORCID: https://orcid.org/0000-0002-8965-8495)
- Lars Eckardt (ORCID: https://orcid.org/0000-0002-3735-8503)
- Katja Zeppenfeld (ORCID: https://orcid.org/0000-0002-7034-1017)
- Masateru Takigawa (ORCID: https://orcid.org/0000-0002-8473-7514)
- Fabrizio Drago (ORCID: https://orcid.org/0000-0003-1888-373X)
- Ch. Meyer
- Jonathan M. Kalman (ORCID: https://orcid.org/0000-0002-6618-7184)
- Carina Hardy (ORCID: https://orcid.org/0000-0003-3003-3017)
- P. Jais
- Claire Martin (ORCID: https://orcid.org/0000-0002-5497-4594)
- Thomas A. Dewland (ORCID: https://orcid.org/0000-0001-6069-7135)
- Nikolaos Dagres
- Tom Wong
- Edward P Gerstenfeld
- Ann-Kathrin Kahle
- Nicolas Derval
- Peter M Kistler
- Antonio Frontera
Institutions
- The Royal Melbourne Hospital (AU)
- Baker Heart and Diabetes Institute (AU)
- The University of Melbourne (AU)
- Universidade de São Paulo (BR)
- University of California, San Francisco (US)
- Leiden University Medical Center (NL)
- The Alfred Hospital (AU)
- Harefield Hospital (GB)
- Electrophysiology and Heart Modeling Institute (FR)
- Düsseldorf University Hospital (DE)
- Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda (IT)
- University Hospital Münster (DE)
- Papworth Hospital NHS Foundation Trust (GB)
- The Arrhythmia Institute (US)
- Bambino Gesù Children's Hospital (IT)
- Euro-Centrum (PL)
- Krankenhaus der Elisabethinen (AT)
- Deutsches Herzzentrum München (DE)
- Melbourne Health (AU)
- Berlin Heart (Germany) (DE)
- Heinrich Heine University Düsseldorf (DE)
Publication Details
- Journal
- EP Europace
- Published
- 2025-12-01
- DOI
- https://doi.org/10.1093/europace/euaf324
- Citations
- 2
- Primary Topic
- Cardiac Arrhythmias and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 2.78