Correlation of P-wave polarity with underlying electrophysiologic mechanisms of long RP′ tachycardia

In summary, our findings suggest that P-wave morphology in lead I during a long RP′ tachycardia provides a useful marker to help distinguish between atypical AVNRT and other mechanisms (PJRT or low AT) responsible for this unusual form of supraventricular tachycardia. Although a negative P wave in t...

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Veröffentlicht in:The American journal of cardiology 1996-05, Vol.77 (12), p.1129-1132
Hauptverfasser: Kheng-Siang, Ng, Lauer, Michael R., Young, Charlie, Liem, L.Bing, Sung, Ruey J.
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container_end_page 1132
container_issue 12
container_start_page 1129
container_title The American journal of cardiology
container_volume 77
creator Kheng-Siang, Ng
Lauer, Michael R.
Young, Charlie
Liem, L.Bing
Sung, Ruey J.
description In summary, our findings suggest that P-wave morphology in lead I during a long RP′ tachycardia provides a useful marker to help distinguish between atypical AVNRT and other mechanisms (PJRT or low AT) responsible for this unusual form of supraventricular tachycardia. Although a negative P wave in the inferior leads is common to all 3 mechanisms, our results suggest that a positive or isoelectric P wave in lead I strongly supports a diagnosis of atypical AVNRT, whereas a negative or biphasic P wave in lead I argues against this mechanism.
doi_str_mv 10.1016/S0002-9149(96)00148-8
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Adult
Cardiovascular disease
Diagnosis, Differential
Electrocardiography
Female
Heart
Heart Conduction System - physiopathology
Humans
Male
Middle Aged
Scientific imaging
Tachycardia, Atrioventricular Nodal Reentry - diagnosis
Tachycardia, Atrioventricular Nodal Reentry - physiopathology
Tachycardia, Supraventricular - diagnosis
Tachycardia, Supraventricular - physiopathology
title Correlation of P-wave polarity with underlying electrophysiologic mechanisms of long RP′ tachycardia
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