Retrograde cycle length alternans during supraventricular tachycardia: an unusual tachycardia mechanism
Cycle length alternans is occasionally seen during supraventricular tachycardia due to oscillations in the antegrade atrioventricular nodal (AVN) refractoriness. However, alternans due to retrograde variation in AVN conduction has not been reported. This report describes the case of a 36-year-old ma...
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Veröffentlicht in: | Pacing and clinical electrophysiology 2004-07, Vol.27 (7), p.1017-1019 |
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description | Cycle length alternans is occasionally seen during supraventricular tachycardia due to oscillations in the antegrade atrioventricular nodal (AVN) refractoriness. However, alternans due to retrograde variation in AVN conduction has not been reported. This report describes the case of a 36-year-old man with atypical AVN reentry tachycardia (AVNRT) whose episodes of tachycardia were characterized by continuous oscillations in retrograde AVN conduction. Ablation at one spot eliminated the tachycardia. Cycle length alternans due to oscillations in retrograde AVN conduction, although rare, can be seen during atypical AVNRT and should be considered. |
doi_str_mv | 10.1111/j.1540-8159.2004.00578.x |
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However, alternans due to retrograde variation in AVN conduction has not been reported. This report describes the case of a 36-year-old man with atypical AVN reentry tachycardia (AVNRT) whose episodes of tachycardia were characterized by continuous oscillations in retrograde AVN conduction. Ablation at one spot eliminated the tachycardia. Cycle length alternans due to oscillations in retrograde AVN conduction, although rare, can be seen during atypical AVNRT and should be considered.</description><identifier>ISSN: 0147-8389</identifier><identifier>EISSN: 1540-8159</identifier><identifier>DOI: 10.1111/j.1540-8159.2004.00578.x</identifier><identifier>PMID: 15271029</identifier><language>eng</language><publisher>United States</publisher><subject>Adult ; Atrioventricular Node - physiopathology ; Electrocardiography ; Heart Rate ; Humans ; Male ; Tachycardia, Atrioventricular Nodal Reentry - physiopathology</subject><ispartof>Pacing and clinical electrophysiology, 2004-07, Vol.27 (7), p.1017-1019</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c256t-ce1818a2b5b1f51661dfcd161e7dd959e9b0fc175a87c41228fee52723eb5b923</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15271029$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chiamvimonvat, Nipavan</creatorcontrib><creatorcontrib>Cain, Jim</creatorcontrib><creatorcontrib>Glatter, Kathryn A</creatorcontrib><title>Retrograde cycle length alternans during supraventricular tachycardia: an unusual tachycardia mechanism</title><title>Pacing and clinical electrophysiology</title><addtitle>Pacing Clin Electrophysiol</addtitle><description>Cycle length alternans is occasionally seen during supraventricular tachycardia due to oscillations in the antegrade atrioventricular nodal (AVN) refractoriness. 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Cycle length alternans due to oscillations in retrograde AVN conduction, although rare, can be seen during atypical AVNRT and should be considered.</description><subject>Adult</subject><subject>Atrioventricular Node - physiopathology</subject><subject>Electrocardiography</subject><subject>Heart Rate</subject><subject>Humans</subject><subject>Male</subject><subject>Tachycardia, Atrioventricular Nodal Reentry - physiopathology</subject><issn>0147-8389</issn><issn>1540-8159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkE9PwzAMxSMEYmPwFVBO3FritGlTbmjinzQJCcE5SlN369RmI2nQ9u1p2QT4Ysl-z0_-EUKBxTDU7ToGkbJIgihizlgaMyZyGe9OyPR3cUqmDNI8koksJuTC-zVjLGOpOCcTEDwHxospWb5h7zZLpyukZm9apC3aZb-iuu3RWW09rYJr7JL6sHX6C23vGhNa7WivzWpvtKsafUe1pcEGH3T7f047NCttG99dkrNatx6vjn1GPh4f3ufP0eL16WV-v4gMF1kfGQQJUvNSlFALyDKoalNBBphXVSEKLEpWG8iFlrlJgXNZIw7P8AQHS8GTGbk53N26zWdA36uu8QbbVlvcBK-yLE8lF2IQyoPQuI33Dmu1dU2n3V4BUyNktVYjSzWyVCNk9QNZ7Qbr9TEjlB1Wf8Yj1eQbDXR7iw</recordid><startdate>200407</startdate><enddate>200407</enddate><creator>Chiamvimonvat, Nipavan</creator><creator>Cain, Jim</creator><creator>Glatter, Kathryn A</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200407</creationdate><title>Retrograde cycle length alternans during supraventricular tachycardia: an unusual tachycardia mechanism</title><author>Chiamvimonvat, Nipavan ; Cain, Jim ; Glatter, Kathryn A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c256t-ce1818a2b5b1f51661dfcd161e7dd959e9b0fc175a87c41228fee52723eb5b923</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Atrioventricular Node - physiopathology</topic><topic>Electrocardiography</topic><topic>Heart Rate</topic><topic>Humans</topic><topic>Male</topic><topic>Tachycardia, Atrioventricular Nodal Reentry - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chiamvimonvat, Nipavan</creatorcontrib><creatorcontrib>Cain, Jim</creatorcontrib><creatorcontrib>Glatter, Kathryn A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pacing and clinical electrophysiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chiamvimonvat, Nipavan</au><au>Cain, Jim</au><au>Glatter, Kathryn A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Retrograde cycle length alternans during supraventricular tachycardia: an unusual tachycardia mechanism</atitle><jtitle>Pacing and clinical electrophysiology</jtitle><addtitle>Pacing Clin Electrophysiol</addtitle><date>2004-07</date><risdate>2004</risdate><volume>27</volume><issue>7</issue><spage>1017</spage><epage>1019</epage><pages>1017-1019</pages><issn>0147-8389</issn><eissn>1540-8159</eissn><abstract>Cycle length alternans is occasionally seen during supraventricular tachycardia due to oscillations in the antegrade atrioventricular nodal (AVN) refractoriness. 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subjects | Adult Atrioventricular Node - physiopathology Electrocardiography Heart Rate Humans Male Tachycardia, Atrioventricular Nodal Reentry - physiopathology |
title | Retrograde cycle length alternans during supraventricular tachycardia: an unusual tachycardia mechanism |
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