Unusual Wenckebach phenomenon due to an atrial tachycardia arising from the apex of Koch’s triangle in the presence of dual AV nodal physiology
| Autor: | Dora Paprika, Csaba Földesi, Tchavdar N. Shalganov, Tamás Szili-Török |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
Tachycardia Ectopic Atrial Tachycardia medicine.medical_specialty Heart disease medicine.medical_treatment Bundle-Branch Block Physiology Cryosurgery dual AV nodal physiology Wenckebach block Heart Conduction System Physiology (medical) Internal medicine medicine Humans Tachycardia Atrioventricular Nodal Reentry cardiovascular diseases Atrial tachycardia Coronary sinus business.industry Koch's triangle Cryoablation Anatomy atrial tachycardia medicine.disease Apex (geometry) Treatment Outcome cryoablation cardiovascular system Cardiology Female medicine.symptom Cardiology and Cardiovascular Medicine NODAL business AV nodal reentrant tachycardia |
| Zdroj: | Journal of Interventional Cardiac Electrophysiology. 15:197-200 |
| ISSN: | 1572-8595 1383-875X |
| Popis: | A case of a patient with narrow QRS tachycardia and without structural heart disease is presented. The electrophysiologic study revealed an atrial tachycardia in the presence of dual atrioventricular (AV) nodal physiology and AV block at suprahisian level, the latter two leading to an unusual Wenckebach periodicity. The entire septal area was mapped as was the coronary sinus (CS) os and the earliest atrial activation was found at the apex of Koch's triangle in close vicinity to the His bundle (HB). Cryomapping at that point reproducibly terminated the tachycardia without impairing AV conduction. Cryoablation rendered the tachycardia non-inducible. Discontinuous AV conduction persisted but AV nodal reentrant tachycardia (AVNRT) was not inducible. Six months later the patient is arrhythmia-free. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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