Arrhythmias & electrophysiology

Clinical and Electrophysiological Characteristics of Marshall Bundle–Related Atrial Tachycardia: Considerations Based on a Definitive Diagnosis

JACC Clin ElectrophysiolPublished Observational study

Authors' conclusion

Understanding the distinct clinical and electrophysiological characteristics of MB-related AT can facilitate the diagnosis and treatment of this AT type.

Study context

Population
Patients with atrial tachycardia (AT) who had previously undergone mitral isthmus ablation
Participants
48 patients
Outcome
MB-related AT characteristics

Main finding

As reported in the abstract

Diagnosed with Marshall bundle (MB)-related AT

20 of 48

Activation along vein of Marshall (VOM) descending

13

Activation along VOM ascending

7

Persistent AT despite VOM conduction block

2

Observational data: associations, not effects.

Further findings

OutcomeChemical ablationRadiofrequency ablation
Acute termination and recurrence by ablation typeRecurrence0 of 134 of 7
Acute termination and recurrence by ablation type — Acute termination of AT
20

Original publication

Clinical and Electrophysiological Characteristics of Marshall Bundle–Related Atrial Tachycardia: Considerations Based on a Definitive Diagnosis. JACC Clin Electrophysiol. Published 18 December 2024. doi:10.1016/j.jacep.2024.10.019

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