Nonreentrant atrioventricular nodal tachycardia due to triple nodal pathways manifested by radiofrequency ablation at coronary sinus ostium

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概要

• 論文の詳細を見る

• We report a case of complex supraventricular tachycardia manifested by radiofrequency delivery. Initially, the patient presented with orthodromic atrioventricular reentrant tachycardia via a left-sided accessory pathway that was successfully eliminated. Atrial tachycardia originating from coronary sinus ostium was also induced. Radiofrequency delivery at the coronary sinus ostium induced a narrow QRS tachycardia with irregular R-R intervals. A detailed analysis explained that the tachycardia could be a nonreentrant mechanism due to triple atrioventricular nodal pathways: an atrial excitation evokes double ventricular response due to simultaneous activation of the fast and slow pathways, and the next one activates ventricle through the intermediate pathway.

• Elsevier Incの論文

著者

• Yoshida H

  Department Of Cardiovascular Medicine Hokkaido University Graduate School Of Medicine

• Yokoshiki Hisashi

  Department Of Cardiovascular Medicine Hokkaido University Graduate School Of Medicine

• Tsutsui Hiroyuki

  Department Of Cardiovascular Medicine

• Sasaki Koji

  Sohen Central Hospital

• Sasaki Kohji

  Department Of Cardiovascular Medicine Hokkaido University Graduate School Of Medicine

• Shimokawa Junichi

  Keiwakai Ebetsu Hospital

• Tsutsui Hiroyuki

  Department Of Cardiovascular Medicine Kyushu University Graduate School Of Medical Sciences

• Sakurai Masayuki

  Department Of Cardiovascular Medicine Hokkaido University Graduate School Of Medicine

• Sakurai Masayuki

  Department Of Cardiovascular Medicine Hokkaido University School Of Medicine Sapporo Japan

• Sakurai Masayuki

  Dept. Of Cardiovascular Med. Hokkaido Univ. Sch. Med.

• Yokoi Hisataka

  Department Of Cardiovascular Medicine Hokkaido University Graduate School Of Medicine

• Sakurai Masayuki

  Department Of Cardiovascular Medicine Hokko Memorial Hospital

• Tsutsui Hiroyuki

  Department Of Cardiovascular Medicine Hokkaido University Hospital

• Tsutsui Hiroyuki

  Departments Of Cardiovascular Medicine Graduate School Of Medical Sciences Kyushu University:japanese Coronary Intervention Study (jcis) Group

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