Classification of electrophysiological types of atrioventricular nodal re-entrant tachycardia: a reappraisal

Classification of electrophysiological types of atrioventricular nodal re-entrant tachycardia: a reappraisal

Sequence of retrograde atrial activation is not a reliable criterion for the classification of atrioventricular nodal re-entrant tachycardia (AVNRT) into typical and atypical types. The conventional concept of a lower common pathway is not supported by current evidence and does not represent a relia...

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Veröffentlicht in:Europace (London, England) England), 2013-09, Vol.15 (9), p.1231-1240
Hauptverfasser: Katritsis, Demosthenes G, Josephson, Mark E
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Sprache:eng
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Electrocardiography - methods
Reproducibility of Results
Sensitivity and Specificity
Tachycardia, Atrioventricular Nodal Reentry - classification
Tachycardia, Atrioventricular Nodal Reentry - diagnosis
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Josephson, Mark E
description Sequence of retrograde atrial activation is not a reliable criterion for the classification of atrioventricular nodal re-entrant tachycardia (AVNRT) into typical and atypical types. The conventional concept of a lower common pathway is not supported by current evidence and does not represent a reliable or reproducible criterion. The distinction between 'fast-slow' and 'slow-slow' forms is not unanimously defined, and probably of no practical significance. We suggest that AVNRT should be classified as typical or atypical according to the His-atrial interval or, when a His bundle electrogram is not reliably recorded, the ventriculo-atrial interval measured on the His bundle recording electrode.
doi_str_mv 10.1093/europace/eut100
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source Oxford Journals Open Access Collection; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection
subjects Electrocardiography - methods
Reproducibility of Results
Sensitivity and Specificity
Tachycardia, Atrioventricular Nodal Reentry - classification
Tachycardia, Atrioventricular Nodal Reentry - diagnosis
title Classification of electrophysiological types of atrioventricular nodal re-entrant tachycardia: a reappraisal
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