Nonreentrant Supraventricular Tachycardia Misdiagnosed as Inappropriate Sinus Tachycardia

被引：4

作者：

Bhatt, Advay G. ^{[2
]}

Monahan, Kevin M. ^{[1
]}

机构：

[1] Boston Univ, Med Ctr, Electrophysiol & Arrhythmia Serv, Boston, MA 02118 USA

[2] Boston Univ Sch Med Ctr, Boston, MA USA

来源：

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 2011年 / 34卷 / 08期

关键词：

nonreentrant supraventricular tachycardia; dual nodal response tachycardia; 1:2 tachycardia; dual AV nodal physiology; inappropriate sinus tachycardia; ATRIOVENTRICULAR NODAL PATHWAYS; SIMULTANEOUS CONDUCTION; REENTRANT;

D O I：

10.1111/j.1540-8159.2010.02783.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We report a case of a woman with incessant palpitations initially misdiagnosed as inappropriate sinus tachycardia that proved refractory to beta-blockers. At the time of electrophysiologic testing, a sustained narrow-complex tachycardia with a 1:2 atrioventricular relationship was repeatedly initiated by a posterior fascicle depolarization induced by means of a timed ventricular extrastimulus. The tachycardia was repeatedly terminated with a timed atrial extrastimulus, which excluded junctional bigeminy and confirmed the diagnosis of nonreentrant supraventricular tachycardia. Catheter ablation of the slow pathway eliminated dual-pathway conduction and tachycardia. (PACE 2011;34:e70-e73)

引用

页码：E70 / E73

页数：4

共 11 条

[1] Nonreentrant supraventricular tachycardia due to double ventricular response via dual atrioventricular nodal pathways [J].

Ajiki, K ;

Murakawa, Y ;

Yamashita, T ;

Oikawa, N ;

Sezaki, K ;

Kotsuka, Y ;

Furuse, A ;

Omata, M .

JOURNAL OF ELECTROCARDIOLOGY, 1996, 29 (02) :155-160

[2] UNUSUAL MECHANISM OF PR INTERVAL VARIATION AND NONREENTRANT SUPRAVENTRICULAR TACHYCARDIA AS MANIFESTATION OF SIMULTANEOUS ANTEROGRADE FAST AND SLOW CONDUCTION THROUGH DUAL ATRIOVENTRICULAR NODAL PATHWAYS [J].

BUSS, J ;

KRAATZ, J ;

STEGARU, B ;

NEUSS, H ;

HEENE, DL .

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1985, 8 (02) :235-241

[3] PAROXYSMAL NON-REENTRANT TACHYCARDIAS DUE TO SIMULTANEOUS CONDUCTION IN DUAL ATRIOVENTRICULAR NODAL PATHWAYS [J].

CSAPO, G .

AMERICAN JOURNAL OF CARDIOLOGY, 1979, 43 (05) :1033-1045

[4] Reentrant and nonreentrant forms of atrio-ventricular nodal tachycardia mimicking atrial fibrillation [J].

Dixit, S ;

Callans, DJ ;

Gerstenfeld, EP ;

Marchlinski, FE .

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2006, 17 (03) :312-316

[5]

Jastrzebski M, 2008, PACE, V31, P1363, DOI 10.1111/j.1540-8159.2008.01193_1.x

[6] NONREENTRANT SUPRAVENTRICULAR TACHYCARDIA DUE TO SIMULTANEOUS CONDUCTION OVER FAST AND SLOW AV NODE PATHWAYS - SUCCESSFUL TREATMENT WITH RADIOFREQUENCY ABLATION [J].

LI, HG ;

KLEIN, GJ ;

NATALE, A ;

THAKUR, RK ;

YEE, R .

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1994, 17 (06) :1186-1193

[7] A NONREENTRANT ARRHYTHMIA DUE TO A DUAL ATRIOVENTRICULAR NODAL PATHWAY [J].

MADLE, A .

INTERNATIONAL JOURNAL OF CARDIOLOGY, 1990, 26 (02) :217-219

[8] Incessant non-reentrant supraventricular tachycardia interrupted by apparent simultaneous Wenckebach sequences along both nodal pathways [J].

Maury, Philippe ;

Hebrard, Aurelien ;

Duparc, Alexandre ;

Fontan, Anthony ;

Adegnon, Kedi ;

Delay, Marc .

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 2008, 31 (06) :757-760

[9] PAROXYSMAL NONREENTRANT SUPRAVENTRICULAR TACHYCARDIA DUE TO SIMULTANEOUS FAST AND SLOW PATHWAY CONDUCTION IN DUAL ATRIOVENTRICULAR NODE PATHWAYS [J].

SUNG, SK ;

LAL, R ;

RUFFY, R .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1987, 10 (02) :456-461

[10] SUPRA-VENTRICULAR NONREENTRANT TACHYCARDIA DUE TO SIMULTANEOUS CONDUCTION THROUGH DUAL ATRIOVENTRICULAR NODAL PATHWAYS [J].

SUTTON, FJ ;

LEE, YC .

AMERICAN JOURNAL OF CARDIOLOGY, 1983, 51 (05) :897-900

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