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A spontaneous or pacing-induced transition from slow-fast atrioventricular nodal reentrant tachycardia to fast-slow type using a superior slow pathway.

作者信息

Miyazawa Hiroyuki, Morishima Itsuro, Kanzaki Yasunori, Shimojo Kazuki

机构信息

Department of Cardiology Ogaki Municipal Hospital Ogaki Japan.

出版信息

J Arrhythm. 2024 Oct 16;40(6):1501-1504. doi: 10.1002/joa3.13157. eCollection 2024 Dec.

DOI:10.1002/joa3.13157
PMID:39669936
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11632270/
Abstract

Wenckebach-periodic VA prolongation and abrupt shortening of HH interval during tachycardia indicate (i) a retrograde block at the upper common pathway that manifested a retrograde atrial activation via the superior slow pathway, and (ii) an antegrade return of a retrograde atrial activation to His bundle via the fast pathway.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eb2/11632270/6e614a5ace1a/JOA3-40-1501-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eb2/11632270/a1bdd9d8e8b4/JOA3-40-1501-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eb2/11632270/f527882cb428/JOA3-40-1501-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eb2/11632270/6e614a5ace1a/JOA3-40-1501-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eb2/11632270/a1bdd9d8e8b4/JOA3-40-1501-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eb2/11632270/f527882cb428/JOA3-40-1501-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eb2/11632270/6e614a5ace1a/JOA3-40-1501-g001.jpg

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本文引用的文献

1
Atypical Fast-Slow Atrioventricular Nodal Reentrant Tachycardia Incorporating a "Superior" Slow Pathway: A Distinct Supraventricular Tachyarrhythmia.不典型快-慢房室结折返性心动过速合并“上位”慢径:一种特殊的室上性心动过速。
Circulation. 2016 Jan 12;133(2):114-23. doi: 10.1161/CIRCULATIONAHA.115.018443. Epub 2015 Nov 5.
2
Atrioventricular nodal reentrant tachycardia.房室结折返性心动过速
Circulation. 2010 Aug 24;122(8):831-40. doi: 10.1161/CIRCULATIONAHA.110.936591.
3
V-A block during atrioventricular nodal reentrant tachycardia: reentry confined to the AV node.
Pacing Clin Electrophysiol. 2003 Mar;26(3):775-7. doi: 10.1046/j.1460-9592.2003.00133.x.
4
Electrophysiological manifestations of the excitable gap of slow-fast AV nodal reentrant tachycardia demonstrated by single extrastimulation.单次额外刺激显示的快慢型房室结折返性心动过速可兴奋间隙的电生理表现
Circulation. 1995 Jul 1;92(1):66-76. doi: 10.1161/01.cir.92.1.66.