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Netherlands Heart Journal
Published in: Netherlands Heart Journal 1/2017

Open Access 01-01-2017 | Rhythm Puzzle - Answer

Regular, narrow QRS, long RP tachycardia – what is the mechanism?

Authors: S. Tzeis, S. Pastromas, A. Sikiotis, G. Andrikopoulos

Published in: Netherlands Heart Journal | Issue 1/2017

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Excerpt

The differential diagnosis of a regular, narrow QRS, long-RP tachycardia includes atypical atrioventricular nodal reentry tachycardia (AVNRT), atrial tachycardia and atrioventricular reentry tachycardia (AVRT) via a slowly conducting accessory pathway usually presenting decremental conduction properties. …
Literature
1.
Veenhuyzen GD, Quinn FR, Wilton SB, et al. Diagnostic pacing maneuvers for supraventricular tachycardia: part 1. Pacing Clin Electrophysiol. 2011;34:767–82.CrossRefPubMed
2.
Michaud GF, Tada H, Chough S, et al. Differentiation of atypical atrioventricular node re-entrant tachycardia from orthodromic reciprocating tachycardia using a septal accessory pathway by the response to ventricular pacing. J Am Coll Cardiol. 2001;38:1163–7.CrossRefPubMed
3.
Sun Y, Arruda M, Otomo K, et al. Coronary sinus-ventricular accessory connections producing posteroseptal and left posterior accessory pathways: incidence and electrophysiological identification. Circulation. 2002;106:1362–7.CrossRefPubMed
Metadata
Title
Regular, narrow QRS, long RP tachycardia – what is the mechanism?
Authors
S. Tzeis
S. Pastromas
A. Sikiotis
G. Andrikopoulos
Publication date
01-01-2017
Publisher
Bohn Stafleu van Loghum
Published in
Netherlands Heart Journal / Issue 1/2017
Print ISSN: 1568-5888
Electronic ISSN: 1876-6250
DOI
https://doi.org/10.1007/s12471-016-0897-4

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