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How to Differentiate Between AVRT, AT, AVNRT, and Junctional Tachycardia Using the Baseline ECG and Intracardiac Tracings

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Cardiac Arrhythmias

Abstract

Paroxysmal supraventricular tachycardia is a term that refers to a subset of supraventricular tachycardias characterized by sudden abrupt onset and termination. This group consists of atrioventricular nodal reentry tachycardia, atrioventricular reciprocating tachycardia, atrial tachycardia, and junctional ectopic tachycardia. This chapter will focus on the differentiation of these four tachycardias using electrocardiographic features and intracardiac tracings. Ultimately, the diagnosis of the tachycardia mechanism relies upon three key elements: (1) baseline observations during sinus rhythm, (2) tachycardia features, and (3) the tachycardia response to atrial and ventricular pacing maneuvers.

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Correspondence to Bradley P. Knight MD, FACC, FHRS .

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© 2014 Springer-Verlag London

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Shen, S., Knight, B.P. (2014). How to Differentiate Between AVRT, AT, AVNRT, and Junctional Tachycardia Using the Baseline ECG and Intracardiac Tracings. In: Kibos, A., Knight, B., Essebag, V., Fishberger, S., Slevin, M., Țintoiu, I. (eds) Cardiac Arrhythmias. Springer, London. https://doi.org/10.1007/978-1-4471-5316-0_15

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  • DOI: https://doi.org/10.1007/978-1-4471-5316-0_15

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