1. Decremental properties of a concealed nodoventricular pathway.
- Author
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Onuki, Koumei, Nagashima, Koichi, Matsunaga‐Lee, Yasuharu, Fukunaga, Masato, Hiroshima, Kenichi, Ando, Kenji, and Scheinman, Melvin M.
- Subjects
- *
ARRHYTHMIA , *SUPRAVENTRICULAR tachycardia , *TACHYCARDIA - Abstract
Introduction Methods and Results Conclusion The decremental properties of the nodoventricular pathway (NVP) are uncertain.During short RP supraventricular tachycardia, a His‐refractory premature ventricular contraction (PVC) consistently terminated the tachycardia without atrial capture immediately after the PVC. Whereas a slightly earlier PVC failed to reset the subsequent His but terminated the tachycardia without atrial capture one cycle later.These observations are diagnostic of slow‐fast atrioventricular nodal reentrant tachycardia (AVNRT) with a bystander concealed‐NVP and can be explained by decremental properties in the NVP itself; greater prematurity of the PVC resulted in more decremental conduction over the NVP, causing the AVNRT termination one cycle later. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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