Double ventricular response in dual AV nodal pathways mimicking supraventricular as well as ventricular tachycardia

Supraventricular tachycardias confined to the AV junction are usually thought to be due to reentry using a slow and a fast conducting pathway. In the case presented, a marked difference of conduction velocity in dual AV nodal pathways and retrograde block in the slow conducting pathway caused a vent...

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Veröffentlicht in:European heart journal 1982-04, Vol.3 (2), p.146-154
Hauptverfasser: NEUSS, H., BUSS, J., SCHLEPPER, M., MITROVIĆ, V.
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container_title European heart journal
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creator NEUSS, H.
BUSS, J.
SCHLEPPER, M.
MITROVIĆ, V.
description Supraventricular tachycardias confined to the AV junction are usually thought to be due to reentry using a slow and a fast conducting pathway. In the case presented, a marked difference of conduction velocity in dual AV nodal pathways and retrograde block in the slow conducting pathway caused a ventricular double response to a single atrial depolarization. At a critical heart rate this phenomenon occurred in a bigeminal fashion, mimicking supraventricular as well as ventricular tachycardia.
doi_str_mv 10.1093/oxfordjournals.eurheartj.a061277
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source Oxford University Press Journals Digital Archive legacy; MEDLINE
subjects Adult
concealed conduction
Diagnosis, Differential
double ventricular response tachycardia
Dual AV nodal pathways
Electrocardiography
Exercise Test
Heart Conduction System - physiopathology
Heart Diseases - diagnosis
Humans
Male
Tachycardia - diagnosis
title Double ventricular response in dual AV nodal pathways mimicking supraventricular as well as ventricular tachycardia
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