Kondo Hidekazu, Shinohara Tetsuji, Otsubo Toyokazu, Miyoshi Miho, Fukui Akira, Tsuchiya Takeshi, Takahashi Naohiko
Department of Cardiology and Clinical Examination, Oita University Faculty of Medicine, Oita, Japan.
Department of Cardiology and Clinical Examination, Oita University Faculty of Medicine, Oita, Japan.
J Electrocardiol. 2018 May-Jun;51(3):467-469. doi: 10.1016/j.jelectrocard.2018.01.006. Epub 2018 Feb 3.
Atrioventricular reciprocating tachycardia (AVRT) and atrioventricular nodal re-entrant tachycardia (AVNRT) can coexist and present unidirectional transition (from AVRT to AVNRT, or from AVNRT to AVRT) in a single patient. Actually, such cases have already been reported previously. However, a case with spontaneous bidirectional transition of both tachycardias during supraventricular tachycardia has never been reported. This article describes a case with spontaneous, mutual, and frequent transition between AVRT and AVNRT.
房室折返性心动过速(AVRT)和房室结折返性心动过速(AVNRT)可同时存在于同一患者,并呈现单向转变(从AVRT转变为AVNRT,或从AVNRT转变为AVRT)。实际上,此类病例此前已有报道。然而,室上性心动过速期间两种心动过速自发双向转变的病例从未见报道。本文描述了一例AVRT和AVNRT之间自发、相互且频繁转变的病例。