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Focal atrial tachycardia
  1. Raphael Rosso1,
  2. Peter M Kistler2,3,4
  1. 1Department of Cardiology, Royal Melbourne Hospital, Melbourne, Australia
  2. 2Department of Medicine, University of Melbourne, Parkville, Victoria, Australia
  3. 3The Baker Heart Research Institute, Melbourne, Australia
  4. 4The Heart Centre, The Alfred Hospital, Melbourne, Australia
  1. Correspondence to Dr Peter M. Kistler, The Heart Centre, The Alfred Hospital, Commercial Road, Melbourne, Australia 3004; peter.kistler{at}


Focal atrial tachycardia is a relatively uncommon arrhythmia. Nevertheless, the management of highly symptomatic patients with focal atrial tachycardia can be problematic owing to the poor response to medical treatment. Moreover, focal atrial tachycardia can trigger other atrial arrhythmias like atrial fibrillation and flutter. Radiofrequency ablation of focal atrial tachycardia is extremely successful and this approach is becoming the preferred treatment for symptomatic patients.In this review, we describe the pathophysiology, anatomical localisation, clinical features, diagnosis and therapeutic options for the management of focal atrial tachycardia.

  • Focal atrial tachycardia
  • mechanism
  • diagnosis
  • therapy
  • atrial arrhythmias
  • radiofrequency ablation
  • pathogenesis

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  • Competing interests None.

  • Provenance and peer review Commissioned; externally peer reviewed.