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The Electrophysiologic Characteristics in Patients with Only Ventricular-Pacing Inducible Slow–Fast Form Atrioventricular Nodal Reentrant Tachycardia

  • Clinical Electrophysiology
  • Published:
Journal of Interventional Cardiac Electrophysiology Aims and scope Submit manuscript

Abstract

Background: Atrioventricular nodal reentrant tachycardia (AVNRT) can be usually induced by atrial pacing or extrastimulation. However, it is less commonly induced only by ventricular pacing or extrastimulation.

Objective: The purpose of this retrospective study was to investigate the electrophysiologic characteristics in patients with slow–fast form AVNRT that could be induced only by ventricular pacing or extrastimulation.

Methods: The total population was 1497 patients associated with AVNRT. There were 1373 (91.7%) patients who had slow–fast form AVNRT included in our study. Group 1 (n = 45) could be induced only by ventricular pacing or extrastimulation, and Group 2 (n = 1328) could be induced by only atrial stimulation or both atrial and ventricular stimulation. The electrophysiologic characteristics of the group 1 and group 2 patients were compared.

Results: Group 1 patients had a significantly lower incidence of both antegrade and retrograde dual AV nodal pathways. The pacing cycle length (CL) of the antegrade 1:1 fast pathway (FP) and antegrade ERP of the FP were both significantly shorter in Group 1 patients. Mean antegrade FRP of the fast and slow pathways were significantly shorter in Group 1 patients. The differences of pacing CL of 1:1 antegrade conduction, antegrade ERP and FRP were much longer in Group 2 patients.

Conclusion: This study demonstrated the patients with slow–fast form AVNRT that could be induced only by ventricular stimulation had a lower incidence of dual AV nodal pathways and the different electrophysiologic characteristics (shorter pacing CL of the antegrade 1:1 FP, antegrade ERP of the FP and the differences of pacing CL of 1:1 antegrade conduction, antegrade ERP and FRP) from the other patients. The specific electrophysiologic characteristics in such patients could be the reason that could be induced only by ventricular stimulation.

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Authors and Affiliations

  1. Departments of Pediatrics and Medicine, Taipei, Taiwan

    Pi-Chang Lee & Betau Hwang

  2. Taipei Veterans General Hospital and National Yang-Ming University, Taipei, Taiwan

    Ching-Tai Tai, Ming-Hsiung Hsieh, Chin-Feng Tsai, Chern-En Chiang, Wen-Chung Yu, Hsuan-Ming Taso, Kun-Tai Lee, Yoga Yuniadi, Wanwarang Wongchaoen & Shih-Ann Chen (M.D.)

  3. Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taiwan

    Shih-Ann Chen (M.D.)

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  1. Pi-Chang Lee
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  2. Ching-Tai Tai
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  4. Ming-Hsiung Hsieh
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  9. Kun-Tai Lee
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  12. Shih-Ann Chen
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Correspondence to Shih-Ann Chen.

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Lee, PC., Tai, CT., Hwang, B. et al. The Electrophysiologic Characteristics in Patients with Only Ventricular-Pacing Inducible Slow–Fast Form Atrioventricular Nodal Reentrant Tachycardia. J Interv Card Electrophysiol 14, 153–157 (2005). https://doi.org/10.1007/s10840-006-5924-8

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  • DOI: https://doi.org/10.1007/s10840-006-5924-8

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