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Paroxysmal supraventricular tachycardia with unusual induction. Concealed reentry or automaticity?

作者信息

Hiejima K, Satake S, Sakamoto Y, Suzuki F, Sano T

出版信息

Chest. 1977 Feb;71(2):222-5. doi: 10.1378/chest.71.2.222.

Abstract

In a patient with documented paroxysmal supraventricular tachycardia, earlier atrial extrastimuli consistently induced His-ventricle (H-V) block and "atrioventricular junctional" beats, which were always followed by an echo or paroxysmal supraventricular tachycardia. In "atrioventricular junctional" beats, a V wave was preceded by an H deflection with the same intervals as that of the sinus beat. As for the underlying mechanism of paroxysmal supraventricular tachycardia, two possibilities were considered: (1) concealed atrioventricular nodal reentry, and (2) "triggered automaticity."

摘要

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