Differentiating atrioventricular nodal reentrant tachycardia from tachycardia via concealed accessory pathway

Autor: Richard Kobza, Christopher Piorkowski, Jing-Hong Gerds-Li, Hildegard Tanner, Arash Arya, Anja Dorszewski, Gerhard Hindricks, Petra Schirdewahn, Hans Kottkamp
Rok vydání: 2005
Předmět:
Zdroj: The American Journal of Cardiology. 95:875-878
ISSN: 0002-9149
DOI: 10.1016/j.amjcard.2004.12.020
Popis: Studies analyzing the diagnostic value of 12-lead electrocardiographic criteria differentiating slow-fast atrioventricular nodal reentrant tachycardia (AVNRT) from atrioventricular reentrant tachycardia (AVRT) due to concealed accessory pathway have shown inconsistent results. In 97 patients (50 with AVNRT, 47 with AVRT) 12-lead electrocardiograms (ECGs) were recorded during sinus rhythm and tachycardia (QRS120 ms). The ECGs were blinded for diagnosis and patient and analyzed independently by 2 electrophysiologists. The studied criteria differentiating AVNRT from AVRT included pseudo-r'/S, the presence of a retrograde P wave, RP interval, ST-segment depression/=2 mm with the number and location of the affected leads, QRS amplitude, and cycle length alternans.
Databáze: OpenAIRE