Narrow irregular QRS tachycardia with AV dissociation: what is the mechanism?

Abstract:

:A 39-year-old woman with no structural heart disease and frequent episodes of sudden onset palpitations was referred for the electrophysiological study. During the study, a slightly irregular narrow QRS tachycardia with AV dissociation was repeatedly induced and spontaneously terminated. Apparently, irregular cycles and termination of the tachycardia were related to the dissociated sinus rhythm: atrial depolarizations timed when the AV junction was refractory were able to reset the tachycardia, while early atrial depolarizations caused its termination. This observation was enough to diagnose the tachycardia mechanism in our case.

authors

Castillo Castillo J,Peñafiel Verdú P,Martínez Sánchez J,García Alberola A

doi

10.1111/jce.12026

subject

Has Abstract

pub_date

2013-03-01 00:00:00

pages

364-6

issue

3

eissn

1045-3873

issn

1540-8167

journal_volume

24

pub_type

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