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An Elusive and Deceptive Tachycardia. | LitMetric

AI Article Synopsis

  • A rapid atrial pacing led to a wide-complex tachycardia, characterized by intermittent ventriculoatrial block and QRS alternans.
  • The electrophysiological study showed a short/negative HV interval, and premature ventricular complexes caused the tachycardia to stop.
  • The findings indicate the presence of antidromic re-entrant tachycardia, involving a connection between the nodo-fascicular and the ventricles.

Article Abstract

A wide-complex tachycardia was induced with rapid atrial pacing, with intermittent ventriculoatrial block and QRS alternans. A short/negative HV interval was observed, and premature ventricular complexes resulted in the termination of the tachycardia. The findings at electrophysiology study were consistent with an antidromic re-entrant tachycardia involving a nodo-fascicular/ventricular connection.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7252649PMC
http://dx.doi.org/10.19102/icrm.2017.080202DOI Listing

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