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Unusual variant of atrioventricular nodal reentrant tachycardia.
Authors:Pugazhendhi Vijayaraman  Lai Chow Kok  Bunhi Rhee  Kenneth A Ellenbogen
Affiliation:Cardiac Electrophysiology, McGuire VA Medical Center, Medical College of Virginia, Richmond, 23249, USA. p.vijayaraman@med.va.gov
Abstract:Electrophysiologic study in a patient with supraventricular tachycardia revealed an unusual activation pattern in the coronary sinus (CS) electrodes. Pacing maneuvers confirmed the tachycardia was a slow-slow AV nodal reentrant tachycardia with double potentials in the distal CS electrodes due to an earlier left atrial signal (50 ms) and later CS musculature activation. The left-sided AV nodal inputs were successfully ablated from within the CS.
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