Korean Circulation Journal

  • 제46권4호
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  • Pages.574-579
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  • 2016
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  • 1738-5520(pISSN)
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  • 1738-5555(eISSN)
대한심장학회 (The Korean Society of Cardiology)
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Spontaneous Transition of Double Tachycardias with Atrial Fusion in a Patient with Wolff-Parkinson-White Syndrome

  • Kim, Dongmin (Division of Cardiology, Department of Internal Medicine, School of Medicine, Dankook University) ;
  • Lee, Myung-Yong (Division of Cardiology, Department of Internal Medicine, School of Medicine, Dankook University)
  • 투고 : 2015.12.09
  • 심사 : 2016.03.24
  • 발행 : 2016.07.30
⟨ 이전 논문 다음 논문 ⟩

초록

Among patients with Wolff-Parkinson-White syndrome, atrioventricular reciprocating tachycardia (AVRT) and atrioventricular nodal reentrant tachycardia (AVNRT) can coexist in a single patient. Direct transition of both tachycardias is rare; however, it can occur after premature atrial or ventricular activity if the cycle lengths of the two tachycardias are similar. Furthermore, persistent atrial activation by an accessory pathway (AP) located outside of the AV node during ongoing AVNRT is also rare. This article describes a case of uncommon atrial activation by an AP during AVNRT and gradual transition of the two supraventricular tachycardias without any preceding atrial or ventricular activity in a patient with preexcitation syndrome.

키워드

참고문헌

  1. Gallagher JJ, Pritchett EL, Sealy WC, Kasell J, Wallace AG. The preexcitation syndromes. Prog Cardiovasc Dis 1978;20:285-327. https://doi.org/10.1016/0033-0620(78)90015-4
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  3. Rakovec P. Transition of orthodromic tachycardia into atrioventricular nodal tachycardia during radiofrequency ablation of an accessory pathway. Europace 2009;11:1563-5. https://doi.org/10.1093/europace/eup256
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  8. Luria DM, Nemec J, Etheridge SP, et al. Intra-atrial conduction block along the mitral valve annulus during accessory pathway ablation: evidence for a left atrial "isthmus". J Cardiovasc Electrophysiol 2001;12:744-9. https://doi.org/10.1046/j.1540-8167.2001.00744.x

피인용 문헌

  1. Paroxysmal short runs of irregular narrow QRS tachycardia: What is the mechanism? vol.31, pp.11, 2016, https://doi.org/10.1111/jce.14474