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Manifest Fast and Slow Pathway Conduction Patterns and Reentry in a Patient with Dual AV Nodal Physiology

 

作者: MARCELO V. ELIZARI,   RUBEN A. SANCHEZ,   PABLO A. CHIALE,  

 

期刊: Journal of Cardiovascular Electrophysiology  (WILEY Available online 1991)
卷期: Volume 2, issue 2  

页码: 98-102

 

ISSN:1045-3873

 

年代: 1991

 

DOI:10.1111/j.1540-8167.1991.tb01308.x

 

出版商: Blackwell Publishing Ltd

 

关键词: AV junction;nonreentrant supraventricular tachycardia;dual AV conduction;slow reentrant rhythm;slow AV nodal pathway;fast AV nodal pathway

 

数据来源: WILEY

 

摘要:

Manifest Fast and Slow AV Nodal Conduction Patterns and Reentry.A 52‐year‐old woman with paroxysmal supraventricular tachycardias (PST) showed short and long PR intervals during sinus rhythm. Repetitive episodes of PST due to simultaneous anterograde conduction through fast and slow conduction pathways (one P‐two QRS) were recorded. A self‐limited episode of non‐paroxysmal AV nodal reentry with anterograde slow and retrograde fast pathway conduction was initiated by a single atrial premature beat. Each pathway depicted distinct refractory periods, conduction velocities, unidirectional block, and Wenckebach‐type block suggesting the possibility of a well‐defined anatomic

 

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