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Medication failure was common. Focal AT resolved spontaneously after delivery in eight of nine(89%) patients treated with only medications. Automaticity was suggested by discrete electrograms at sites of origin and lack of reported inducibility and termination with programmed stimulation in all patients who underwent electrophysiology studies. There were nine cases of successful catheter ablation with zero fluoroscopy since 2010. Automaticity is the dominant mechanism for patients with maternal focal AT during pregnancy. Catheter ablatio
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