Unusual variant of atrioventricular nodal reentrant tachycardia. |
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Authors: | Pugazhendhi Vijayaraman Lai Chow Kok Bunhi Rhee Kenneth A Ellenbogen |
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Affiliation: | Cardiac Electrophysiology, McGuire VA Medical Center, Medical College of Virginia, Richmond, 23249, USA. p.vijayaraman@med.va.gov |
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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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