Interesting Electrophysiological Findings in a Patient With Coincidental Right Ventricular Outflow Tract and Atrioventricular Nodal Reentrant Tachycardia
Tachycardia induced tachycardias are not common in clinical practice, and it is believed that most cases of double tachycardia are coincidental. The existence of two different tachycardias in the same patient almost always poses problems in the electrophysiology laboratory. However, in rare instance...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2004-04-01
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| Series: | Indian Pacing and Electrophysiology Journal |
| Subjects: | |
| Online Access: | http://www.ipej.org/0402/pirat.htm |
| _version_ | 1819175974355337216 |
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| author | Bülent Ozin Bahar Pirat Haldun Müderrisoglu |
| author_facet | Bülent Ozin Bahar Pirat Haldun Müderrisoglu |
| author_sort | Bülent Ozin |
| collection | DOAJ |
| description | Tachycardia induced tachycardias are not common in clinical practice, and it is believed that most cases of double tachycardia are coincidental. The existence of two different tachycardias in the same patient almost always poses problems in the electrophysiology laboratory. However, in rare instances, the emergence of a second tachycardia can actually provide invaluable information about the first one. In this report, we describe a 30-year-old woman who presented with palpitations. Electrophysiological study revealed that atrial programmed stimulation at baseline induced right ventricular outflow tract (RVOT) tachycardia and supraventricular tachycardia. The study also showed that each of the tachycardias was able to induce the other. A short run of RVOT tachycardia during supraventricular tachycardia was able to entrain the latter. This finding provided important information about the nature of the supraventricular tachycardia, which proved to be atrioventricular nodal reentrant tachycardia. Both of these tachycardias were successfully ablated, and the patients palpitations disappeared. |
| first_indexed | 2024-12-22T21:03:23Z |
| format | Article |
| id | doaj.art-a3220b6487254586835a0b102b2b5e93 |
| institution | Directory Open Access Journal |
| issn | 0972-6292 |
| language | English |
| last_indexed | 2024-12-22T21:03:23Z |
| publishDate | 2004-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Indian Pacing and Electrophysiology Journal |
| spelling | doaj.art-a3220b6487254586835a0b102b2b5e932022-12-21T18:12:45ZengElsevierIndian Pacing and Electrophysiology Journal0972-62922004-04-01429396Interesting Electrophysiological Findings in a Patient With Coincidental Right Ventricular Outflow Tract and Atrioventricular Nodal Reentrant TachycardiaBülent OzinBahar PiratHaldun MüderrisogluTachycardia induced tachycardias are not common in clinical practice, and it is believed that most cases of double tachycardia are coincidental. The existence of two different tachycardias in the same patient almost always poses problems in the electrophysiology laboratory. However, in rare instances, the emergence of a second tachycardia can actually provide invaluable information about the first one. In this report, we describe a 30-year-old woman who presented with palpitations. Electrophysiological study revealed that atrial programmed stimulation at baseline induced right ventricular outflow tract (RVOT) tachycardia and supraventricular tachycardia. The study also showed that each of the tachycardias was able to induce the other. A short run of RVOT tachycardia during supraventricular tachycardia was able to entrain the latter. This finding provided important information about the nature of the supraventricular tachycardia, which proved to be atrioventricular nodal reentrant tachycardia. Both of these tachycardias were successfully ablated, and the patients palpitations disappeared.http://www.ipej.org/0402/pirat.htmNon-sustained ventricular tachycardiasupraventricular tachycardiadouble tachycardia. |
| spellingShingle | Bülent Ozin Bahar Pirat Haldun Müderrisoglu Interesting Electrophysiological Findings in a Patient With Coincidental Right Ventricular Outflow Tract and Atrioventricular Nodal Reentrant Tachycardia Indian Pacing and Electrophysiology Journal Non-sustained ventricular tachycardia supraventricular tachycardia double tachycardia. |
| title | Interesting Electrophysiological Findings in a Patient With Coincidental Right Ventricular Outflow Tract and Atrioventricular Nodal Reentrant Tachycardia |
| title_full | Interesting Electrophysiological Findings in a Patient With Coincidental Right Ventricular Outflow Tract and Atrioventricular Nodal Reentrant Tachycardia |
| title_fullStr | Interesting Electrophysiological Findings in a Patient With Coincidental Right Ventricular Outflow Tract and Atrioventricular Nodal Reentrant Tachycardia |
| title_full_unstemmed | Interesting Electrophysiological Findings in a Patient With Coincidental Right Ventricular Outflow Tract and Atrioventricular Nodal Reentrant Tachycardia |
| title_short | Interesting Electrophysiological Findings in a Patient With Coincidental Right Ventricular Outflow Tract and Atrioventricular Nodal Reentrant Tachycardia |
| title_sort | interesting electrophysiological findings in a patient with coincidental right ventricular outflow tract and atrioventricular nodal reentrant tachycardia |
| topic | Non-sustained ventricular tachycardia supraventricular tachycardia double tachycardia. |
| url | http://www.ipej.org/0402/pirat.htm |
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