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A short RP tachycardia in congenitally corrected transposition. What is the mechanism?

Authors :
Bhargav, Anish
Sukumaran, Suresh Kumar
Balaguru, Sridhar
Selvaraj, Raja J.
Source :
Pacing & Clinical Electrophysiology. Feb2024, Vol. 47 Issue 2, p239-241. 3p.
Publication Year :
2024

Abstract

A 51‐year‐old female with congenitally corrected transposition of great arteries (CCTGA), situs solitus, dextrocardia, atrial septal defect and persistent left superior vena cava underwent electrophysiology study for recurrent palpitations with documented narrow complex, short RP tachycardia. With a catheter in the region of the anterior mitral annulus, a His signal was recorded and HV interval was 35 msec. Tachycardia was induced with a ventricular extrastimulus. During the tachycardia there was 1:1 ventriculo‐atrial conduction and central atrial activation with a VA interval of 20 msec. The recorded His signal could be seen after the QRS. What is the mechanism of the tachycardia? [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
01478389
Volume :
47
Issue :
2
Database :
Academic Search Index
Journal :
Pacing & Clinical Electrophysiology
Publication Type :
Academic Journal
Accession number :
175446332
Full Text :
https://doi.org/10.1111/pace.14927