Skip to main content
Log in

Atrioventricular nodal reentrant tachycardia diagnosed by pacemaker electrograms

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

Abstract

Electrograms stored by pacemakers or implantable defibrillators enable the diagnosis of numerous atrial or ventricular arrhythmia episodes. We present the case of a patient implanted with a DDD pacemaker for sinus node dysfunction who experienced episodes of tachycardia. Atrioventricular nodal reentrant tachycardia was diagnosed by real-time analysis of electrograms during and at the onset of the tachycardia episodes. Electrophysiological study confirmed the diagnosis and led to radical treatment of the tachycardia by radiofrequency ablation of the slow pathway.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Lockwood, D., Otomo, K., Wang, Z., Forresti, S., Nakagawa, H., Beckman, K., et al. (2004). Electrophysiologic characteristics of atrioventricular nodal reentrant tachycardia: Implications for the reentrant circuits. In D. P. Zipes & J. Jalife (Eds.), Cardiac electrophysiology: From cell to bedside (4th edn.) (pp. 537–557). Philadelphia: Saunders.

    Google Scholar 

  2. Knight, B. P., Zivin, A., Souza, J., Flemming, M., Pelosi, F., Goyal, R., et al. (1999). A technique for the rapid diagnosis of atrial tachycardia in the electrophysiology laboratory. Journal of the American College of Cardiology, 33, 775–781.

    Article  PubMed  CAS  Google Scholar 

  3. Gaita, F., Riccardi, R., Marco, S., & Caponi, D. (2002). Catheter ablation of typical atrioventricular nodal reentrant tachycardia. In D. P. Zipes & M. Haïssaguerre (Eds.), Catheter ablation of arrhythmias (2nd edn.) (pp. 225–248). Armonk, NY: Futura.

    Google Scholar 

  4. Defaye, P., Leclercq, J. F., Guilleman, D., Scanu, P., Hazard, J. R., Fatemi., et al. (2003). Contributions of high resolution electrograms memorized by DDDR pacemakers in the interpretation of arrhythmic events. PACE, 26, 214–220.

    PubMed  Google Scholar 

  5. Nowak, B., Mc Meekin, J., Knops, M., Wille, B., Schröder, E., Moro, C., et al. (2005). Validation of dual-chamber pacemaker diagnostic data using dual-channel stored electrograms. PACE, 28, 620–629.

    PubMed  Google Scholar 

  6. Wimmer, A., & Chugh, A. (2006) Antitachycardia pacing during tachycardia: What is the mechanism? Heart Rhythm, 3, 364–365.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Christophe d’Ivernois.

Rights and permissions

Reprints and permissions

About this article

Cite this article

d’Ivernois, C., Hero, M., Sayumwe, I. et al. Atrioventricular nodal reentrant tachycardia diagnosed by pacemaker electrograms. J Interv Card Electrophysiol 16, 199–201 (2006). https://doi.org/10.1007/s10840-006-9039-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10840-006-9039-z

Keywords

Navigation