An unusual case of non-reentrant atrioventricular nodal tachycardia.
Publication/Presentation Date
5-1-2022
Abstract
INTRODUCTION: Although uncommonly encountered, dual atrioventricular nodal non-reentrant tachycardia (DAVNNRT) is a well-described arrhythmia that can manifest in patients with dual atrioventricular nodal pathways physiology. This arrhythmia is characterized on electrocardiogram (ECG) by a single P wave followed by two conducted QRS complexes (so-called "double fire"), and on intracardiac electrograms by a single atrial electrogram followed by two separate His deflections and ventricular electrograms.
METHODS/RESULTS: We report a rare case of "triple-fire" atrioventricular non-reentrant tachycardia in which a patient was found to have three distinct atrioventricular nodal pathways and multiple triple fire responses, both on surface ECG and intracardiac electrograms.
CONCLUSION: Multiple pathways physiology and it's clinical ramifications are discussed.
Volume
33
Issue
5
First Page
1062
Last Page
1066
ISSN
1540-8167
Published In/Presented At
Raphael, C. W., & Pavri, B. B. (2022). An unusual case of non-reentrant atrioventricular nodal tachycardia. Journal of cardiovascular electrophysiology, 33(5), 1062–1066. https://doi.org/10.1111/jce.15426
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
35229370
Department(s)
Administration and Leadership
Document Type
Article