A simple method to differentiate atrioventricular node reentrant tachycardia from orthodromic reciprocating tachycardia
Background Discrimination between atrioventricular node reentry tachycardia (AVNRT) and orthodromic reciprocating tachycardia (ORT) during electrophysiological study may be challenging.Methods To investigate if the difference of the local VA (ventricle-atrium) interval during entrainment and during tachycardia (DVA, defined as the shortest local VA interval of coronary sinus (CS) during entrainment minus the shortest local VA interval of CS during tachycardia) was different in patients with AVNRT and patients with ORT, 168consecutive patients with supraventricular tachycardias were included.After diagnoses of AVNRT or ORT through a concealed accessory pathway (AP) were made according to conventional electrophysiological criteria, entrainment by right ventricular apex pacing was performed in each patient.The patients with successful entrainment were included in the study.The DVA was compared between patients with AVNRT and patients with ORT.
LEI Sen FANG Pi-hua LIU Jun HOU Yu LI Xiao-feng CHEN Xiong-biao TANG Ming ZHANG Shu
Fuwai Hospital,Beijing 100037,China
国内会议
北京
英文
107-107
2013-03-20(万方平台首次上网日期,不代表论文的发表时间)