U wave during supraventricular tachycardia: simulation of a long RP tachycardia and hiding the common type AVNRT
Open accessAbstract
The main tool for the differentiation of supraventricular tachycardia is the 12-lead electrocardiogram (ECG). Especially differentiating the atrioventricular nodal reentrant tachycardia (AVNRT) from the atrioventricular reentrant tachycardia (AVRT) due to concealed accessory pathway or from an atrial tachycardia (AT) is very important for catheter setting and ablation approach in an electrophysiological study. In our case we saw the occurrence of a U wave during tachycardia-simulating a pseudo P wave. This mimicked a long RP-tachycardia, although it was a common type AVNRT.
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Rarely, recording of U waves during typical AVNRT may simulate a long RP tachycardia.
“Rarely, recording of U waves during typical AVNRT may simulate a long RP tachycardia.21”
From European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE) (2017) · cites this paper as [21]
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Katritsis, D. G., Boriani, G., Cosio, F. G., Hindricks, G., Jaïs, P., Josephson, M. E., Keegan, R., Kim, Y.-H., Knight, B. P., Kuck, K.-H., et al. (2017) · Europace · doi:10.1093/europace/euw301 · Cited by 188 · see citing works
- Authors
- Bogossian, H., Ninios, I., Frommeyer, G., Bandorski, D., Eckardt, L., Lemke, B., & Zarse, M.
- Affiliations
- Witten/Herdecke University (DE)
- Klinikum Lüdenscheid (DE)
- University of Münster (DE)
- ORCID
- Venue
- Annals of Noninvasive Electrocardiology
- Publisher
- Wiley
- Published
- 2014-09-09
- Volume
- 20
- Issue
- 3
- Pages
- 292-295
- ISSN
- 1082-720X (ISSN-L)
- 1542-474X
- PMC
- PMC6931530
- OpenAlex
- W2152311316
- Cited by
- 4
- References
- 7
- Citations by year
- 2026: 1 · 2021: 1 · 2019: 1 · 2016: 1
- FWCI
- 0.23
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Annals of Noninvasive Electrocardiology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
- Keywords
- U wave, supraventricular tachycardia, atrioventricular nodal reentrant tachycardia, atrioventricular reentrant tachycardia, concealed accessory pathway, atrial tachycardia, electrocardiographic mimicry, catheter ablation planning
- MeSH terms
- Diagnosis, Differential, Electrocardiography, Female, Humans, Middle Aged, Tachycardia, Atrioventricular Nodal Reentry, Tachycardia, Supraventricular
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