Background <p>Atrial tachycardias (AT) have continuously gained increasing relevance in clinical practice. With the recent publication of the first international consensus statement, a&#xa0;structured approach to the management of AT is now available.</p> Objective <p>The aim of this review is to summarize the key elements and clinically relevant implications of the consensus statement and to place them in the context of contemporary cardiology practice.</p> Material and methods <p>The international AT consensus statement was reviewed with a&#xa0;focus on definitions, classification as well as diagnostic and therapeutic strategies.</p> Results <p>The consensus document introduces a&#xa0;unified classification of AT into reentrant and non-reentrant AT and emphasizes the importance of structured diagnostics, including electrocardiography and echocardiography. While the 12-lead electrocardiogram enables the diagnosis of AT, it is limited in differentiating underlying mechanisms and localizations, making an electrophysiological study necessary. Within the 10-point plan for SMART-AT care, catheter ablation is positioned as the central treatment for long-term rhythm control, including in previously underrepresented patient populations. Emerging technologies such as pulsed-field ablation or dual-energy approaches could further improve the ablation of complex AT in the future. Anticoagulation strategies are guided by the mechanism and localization of the arrhythmia.</p> Conclusion <p>AT represent an emerging clinically relevant disease entity. Advances in diagnostic and treatment strategies have established ablation as the most effective approach for rhythm control. Early rhythm control is recommended to reduce symptom burden, prevent cardiovascular complications and improve the prognosis.</p>