학술논문

Ventriculoatrial Block and His-His Changes During Supraventricular Tachycardia Diagnostic and Mechanistic Implications
Document Type
article
Source
Subject
Heart Disease
Cardiovascular
AH
atrio-His
AV
atrioventricular
AVNRT
AVNRT
atrioventricular nodal re-entrant tachycardia
HA
His-atrial
HH
His-His
HV
His-ventricular
His
LBBB
left bundle branch block
NF
nodofascicular
NV
nodoventricular
ORT
orthodromic re-entry
RBBB
right bundle branch block
SVT
supraventricular tachycardia
VA
ventriculoatrial
nodoventricular or nodofascicular
supraventricular tachycardia
ventriculoatrial block
Language
Abstract
Supraventricular tachycardia (SVT) with ventriculoatrial (VA) block can represent a diagnostic challenge. We present a case of SVT where His-His interval shortening was repeatedly observed during episodes of VA block. This novel observation is more diagnostically suggestive of atrioventricular nodal re-entrant tachycardia, as opposed to orthodromic re-entry using a nodofascicular or nodoventricular pathway where a constant His-His is recorded during episodes of VA block. (Level of Difficulty: Intermediate.).