Ch. Meyer, Ann‐Kathrin Kahle, Nikolaos Dagres, Nicolas Derval, Thomas A. Dewland, Fabrizio Drago, Lars Eckardt, Antonio Frontera, Edward P Gerstenfeld, Carina Hardy, P. Jais, Jonathan M. Kalman, Peter M Kistler, Claire Martin, Helmut Pürerfellner, Masateru Takigawa, Tom Wong, Katja Zeppenfeld
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).