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Provocation of Atrioventricular Reentry Tachycardia: A Paradoxical Effect of Adenosine
Authors:ANNE HAMILTON DOUGHERTY  JAMES K. GILMAN  STANLEY WIGGINS  SOHAIL JALAL  GERALD V. NAGGARELLI
Affiliation:Electrophysiology Laboratory, Division of Cardiology, University of Texas Medical School at Houston, Houston, Texas
Abstract:Adenosine has been used to diagnose latent preexcitation in patients with the Wolff-Parkinson-White syndrome. A case is reported in which intermittent preexcitation had been previously observed, however only retrograde accessory pathway conduction was documented at the time of invasive eiectrophysiological study, Administration of intravenous adenosine during sinus rhythm resulted in provocation of orthodromic atrioventricular reentry tachycardia.
Keywords:supraventricular tachycardia    adenosine    proarrhythmia
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