Vijayaraman Pugazhendhi, Kok Lai Chow, Rhee Bunhi, Ellenbogen Kenneth A
Cardiac Electrophysiology, McGuire VA Medical Center, Medical College of Virginia, Richmond, 23249, USA.
Heart Rhythm. 2005 Jan;2(1):100-2. doi: 10.1016/j.hrthm.2004.09.014.
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.