DOUBLE RESPONSE OF THE VENTRICLE DURING TRANSIENT ENTRAINMENT IN A COMMON ATRIOVENTRICULAR NODAL REENTRANT TACHYCARDIA

被引：8

作者：

SHIMIZU, A

FUKATANI, M

CENTURION, OA

KONOE, A

ISOMOTO, S

KAIBARA, M

YANO, K

机构：

[1] Third Department of Internal Medicine, Nagasaki University School of Medicine, Nagasaki

来源：

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 1993年 / 16卷 / 01期

关键词：

AV NODAL REENTRANT TACHYCARDIA; DOUBLE VENTRICULAR RESPONSE; TRANSIENT ENTRAINMENT;

D O I：

10.1111/j.1540-8159.1993.tb01533.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We report a patient with slow-fast atrioventricular (AV) nodal reentrant tachycardia, in which double ventricular response was demonstrated during rapid pacing at cycle length of 300 msec or less from the high right atrium. The determinants of double ventricular response during transient entrainment in the present case were: (1) a crucial conduction delay in the slow pathway; (2) the collision between the activation via the antegrade fast pathway (antidromically) of the last paced beat and the activation via the antegrade slow pathway (orthodromically) of the previous paced beat, instead of the unidirectional block in the slow pathway; and (3) the enhanced AV nodal conduction over the antegrade fast pathway.

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页码：39 / 45

页数：7

相关论文

共 11 条

[1] ENTRAINMENT AS AN ELECTROPHYSIOLOGIC PHENOMENON [J].

BRUGADA, P ;

WELLENS, HJJ .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1984, 3 (02) :451-454

[2] TRANSIENT ENTRAINMENT AND INTERRUPTION OF ATRIOVENTRICULAR NODE TACHYCARDIA [J].

BRUGADA, P ;

WALDO, AL ;

WELLENS, HJJ .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1987, 9 (04) :769-775

[3] MULTIPLE ACCESSORY PATHWAYS IN PATIENTS WITH PRE-EXCITATION SYNDROME [J].

GALLAGHER, JJ ;

SEALY, WC ;

KASELL, J ;

WALLACE, AG .

CIRCULATION, 1976, 54 (04) :571-591

[4]

GROLLEAU R, 1974, ARCH MAL COEUR VAISS, V67, P13

[5] A 4TH CRITERION FOR TRANSIENT ENTRAINMENT - THE ELECTROGRAM EQUIVALENT OF PROGRESSIVE FUSION [J].

HENTHORN, RW ;

OKUMURA, K ;

OLSHANSKY, B ;

PLUMB, VJ ;

HESS, PG ;

WALDO, AL .

CIRCULATION, 1988, 77 (05) :1003-1012

[6] DETERMINANTS OF SIMULTANEOUS FAST AND SLOW PATHWAY CONDUCTION IN PATIENTS WITH DUAL ATRIOVENTRICULAR NODAL PATHWAYS [J].

LIN, FC ;

YEH, SJ ;

WU, D .

AMERICAN HEART JOURNAL, 1985, 109 (05) :963-970

[7] MECHANISM OF DOUBLE VENTRICULAR RESPONSE TO A SINGLE ATRIAL EXTRASTIMULUS IN PATIENTS WITH WOLFF-PARKINSON-WHITE SYNDROME [J].

MATSUHISA, M ;

SHIMOMURA, K ;

OHE, T ;

KAMAKURA, S ;

AIHARA, N .

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1990, 13 (04) :443-452

[8] DOUBLE ATRIAL AND DOUBLE VENTRICULAR RESPONSES DURING SLOW-FAST FAST-SLOW ATRIOVENTRICULAR NODAL REENTRANT TACHYCARDIA [J].

MATSUHISA, M ;

SHIMOMURA, K ;

OHE, T ;

KAMAKURA, S ;

AIHARA, N .

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1989, 12 (08) :1381-1386

[9] DOUBLE VENTRICULAR RESPONSE TO AN EXTRASTIMULUS IN A PATIENT WITH TRIPLE ATRIOVENTRICULAR PATHWAYS [J].

PIMENTA, J ;

MIRANDA, M ;

SILVA, LA .

CHEST, 1978, 74 (05) :593-596

[10] ENTRAINMENT OF ATRIOVENTRICULAR NODAL REENTRANT TACHYCARDIAS DURING OVERDRIVE PACING FROM HIGH RIGHT ATRIUM AND CORONARY SINUS - WITH SPECIAL REFERENCE TO ATRIOVENTRICULAR DISSOCIATION AND 2-1 RETROGRADE BLOCK DURING TACHYCARDIAS [J].

PORTILLO, B ;

MEJIAS, J ;

LEONPORTILLO, N ;

ZAMAN, L ;

MYERBURG, RJ ;

CASTELLANOS, A .

AMERICAN JOURNAL OF CARDIOLOGY, 1984, 53 (11) :1570-1576