Arrhythmias & electrophysiology

Atrial Tachyarrhythmias With Ultra-Rapid Ventricular Response and Sudden Death in Patients Without Structural Heart Disease

JACC Clin ElectrophysiolPublished Case series

Authors' conclusion

Common clinical and electrical features define a distinct entity of SCD caused by ATAs with ultra-rapid ventricular response in otherwise healthy patients. Catheter ablation of the ATA is an effective treatment in these patients.

Study context

Population
Young resuscitated sudden cardiac death (SCD) survivors without structural heart disease with recurrent implantable cardioverter-defibrillator (ICD) shocks
Participants
5 participants
Outcome
Arrhythmia underlying syncopal events (ICD interrogation)

Main finding

As reported in the abstract

Atrial fibrillation

4 patients

Atrial tachycardia

1 patient

Observational data: associations, not effects.

Further findings

Arrhythmic syncope and shock delivery after ATA ablation · median follow-up 34 months

Sudden death during follow-up
0
Abolished in all patients

Original publication

Atrial Tachyarrhythmias With Ultra-Rapid Ventricular Response and Sudden Death in Patients Without Structural Heart Disease. JACC Clin Electrophysiol. Published 18 December 2024. doi:10.1016/j.jacep.2024.10.025

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