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Updated: Jun 4, 2026

Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology
Published on: May 26, 2015
Swallowing-induced multifocal atrial tachycardia originating from right pulmonary veins
Hisashi Yokoshiki1, Hirofumi Mitsuyama, Masaya Watanabe
1Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine, Sapporo, Japan. yokoshh@med.hokudai.ac.jp
Abstract:
A 64-year-old woman experienced reproducible palpitation caused by irregular atrial tachycardia (AT) while swallowing. This tachycardia was resistant to multiple antiarrhythmic drugs and β-blockers. Catheter mapping revealed right pulmonary vein (PV) firings with different activation sequences, thereby producing multifocal AT. Extensive encircling isolation of ipsilateral right PVs abolished the multifocal AT. Although isolated right PVs were captured by pacing, dissociated PV firings were not induced by swallowing after radiofrequency catheter ablation.
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