Coexistent Types of Atrioventricular Nodal Re-Entrant Tachycardia: Implications for the Tachycardia Circuit
Open accessAbstract
BACKGROUND: There is evidence that atypical fast-slow and typical atrioventricular nodal re-entrant tachycardia (AVNRT) do not use the same limb for fast conduction, but no data exist on patients who have presented with both typical and atypical forms of this tachycardia. We compared conduction intervals during typical and atypical AVNRT that occurred in the same patient. METHODS AND RESULTS: In 20 of 1299 patients with AVNRT, both typical and atypical AVNRT were induced at electrophysiology study by pacing maneuvers and autonomic stimulation or occurred spontaneously. The mean age of the patients was 47.6±10.9 years (range, 32-75 years), and 11 patients (55%) were women. Tachycardia cycle lengths were 368.0±43.1 and 365.8±41.1 ms, and earliest retrograde activation was recorded at the coronary sinus ostium in 60% and 65% of patients with typical and atypical AVNRT, respectively. Thirteen patients (65%) displayed atypical AVNRT with fast-slow characteristics. By comparing conduction intervals during slow-fast and fast-slow AVNRT in the same patient, fast pathway conduction times during the 2 types of AVNRT were calculated. The mean difference between retrograde fast pathway conduction during slow-fast AVNRT and anterograde fast pathway conduction during fast-slow AVNRT was 41.8±39.7 ms and was significantly different when compared with the estimated between-measurement error (P=0.0055). CONCLUSIONS: Our data provide further evidence that typical slow-fast and atypical fast-slow AVNRT use different anatomic pathways for fast conduction.
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Mathematical modelling and numerical analyses have been employed in the investigation of the circuit of atrioventricular nodal reentrant tachycardia.
“Mathematical modelling and numerical analyses have also been employed in the investigation of the circuit of AVNRT.221,232”
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 [232]
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Cites
Applying the right statistics: analyses of measurement studies
Bland, J. M., & Altman, D. G. (2003) · Ultrasound in Obstetrics and Gynecology · doi:10.1002/uog.122 · Cited by 1,305 · see citing works
Initiating Reentry: The Role of Nonuniform Anisotropy in Small Circuits
SPACH, M. S., & JOSEPHSON, M. E. (1994) · Journal of Cardiovascular Electrophysiology · doi:10.1111/j.1540-8167.1994.tb01157.x · Cited by 266 · see citing works
Self-citationAtrioventricular nodal reentrant tachycardia
Katritsis, D. G., & Camm, A. J. (2010) · Circulation · doi:10.1161/circulationaha.110.936591 · Cited by 141 · see citing works
Self-citationAnatomic-Electrophysiological Correlations Concerning the Pathways for Atrioventricular Conduction
Mazgalev, T. N., Ho, S. Y., & Anderson, R. H. (2001) · Circulation · doi:10.1161/01.cir.103.22.2660 · Cited by 111 · see citing works
Keim, S. G., Werner, P., Jazayeri, M.-R., Akhtar, M., & TCHOU, P. J. (1992) · Circulation · doi:10.1161/01.cir.86.3.919 · Cited by 108 · see citing works
Connexin 43 expression delineates two discrete pathways in the human atrioventricular junction
Hucker, W. J., Mccain, M. L., Laughner, J. I., Iaizzo, P. A., & Efimov, I. R. (2008) · The Anatomical Record · doi:10.1002/ar.20631 · Cited by 106 · see citing works
Katritsis, D. G., & Josephson, M. E. (2013) · EP Europace · doi:10.1093/europace/eut100 · Cited by 102 · see citing works
Self-citationThe atrioventricular nodal reentrant tachycardia circuit: A proposal
Katritsis, D. G., & Becker, A. E. (2007) · Heart Rhythm · doi:10.1016/j.hrthm.2007.05.026 · Cited by 98 · see citing works
Self-citationPacker, D. L., Gallagher, J. J., & Prystowsky, E. N. (1992) · Circulation · doi:10.1161/01.cir.85.2.574 · Cited by 71 · see citing works
Wu, J., Wu, J., Olgin, J. E., Miller, J. M., & Zipes, D. P. (2001) · Circulation Research · doi:10.1161/hh1101.092187 · Cited by 64 · see citing works
Katritsis, D. G., Sepahpour, A., Marine, J. E., Katritsis, G. D., Tanawuttiwat, T., Calkins, H., Rowland, E., & Josephson, M. E. (2015) · Europace · doi:10.1093/europace/euu387 · Cited by 58 · see citing works
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Gonzalez, M. D., Contreras, L. J., Cardona, F., Klugewicz, C. J., CONTI, J. B., Curtis, A. B., Morey, T. E., & Dennis, D. M. (2002) · Circulation · doi:10.1161/01.cir.0000041000.94343.28 · Cited by 53 · see citing works
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Nikolaidou, T., Aslanidi, O. V., Zhang, H., & Efimov, I. R. (2012) · Pediatric Cardiology · doi:10.1007/s00246-012-0249-0 · Cited by 47 · see citing works
Wu, D., Yeh, S., Wang, C., Wen, M., & Lin, F. (1994) · American Heart Journal · doi:10.1016/0002-8703(94)90513-4 · Cited by 46 · see citing works
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Antz, M., Scherlag, B. J., Otomo, K., Pitha, J. V., Tondo, C., Patterson, E. S., Jackman, W. M., & Lazzara, R. (1998) · Journal of Cardiovascular Electrophysiology · doi:10.1111/j.1540-8167.1998.tb00927.x · Cited by 46 · see citing works
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Hirao, K., Scherlag, B. J., Poty, H., Otomo, K., Tondo, C., Antz, M., Patterson, E. S., Jackman, W. M., & Lazzara, R. (1997) · Journal of Cardiovascular Electrophysiology · doi:10.1111/j.1540-8167.1997.tb00852.x · Cited by 38 · see citing works
Katritsis, D. G., Becker, A. E., Ellenbogen, K. A., Giazitzoglou, E., Korovesis, S., & Camm, A. J. (2006) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2005.09.135 · Cited by 35 · see citing works
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Patterson, E. S., & Scherlag, B. J. (2002) · Journal of Interventional Cardiac Electrophysiology · doi:10.1023/a:1020833604423 · Cited by 20 · see citing works
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Loh, P. K. K., Ho, S. Y., Kawara, T., Hauer, R. N. W., Janse, M. J., Breithardt, G., & de Bakker, J. M. T. (2003) · Circulation · doi:10.1161/01.cir.0000080286.87137.32 · Cited by 19 · see citing works
Toshida, N., Hirao, K., YAMAMOTO, N., Tanaka, M., Suzuki, F., & Isobe, M. (2001) · Journal of Cardiovascular Electrophysiology · doi:10.1046/j.1540-8167.2001.01256.x · Cited by 17 · see citing works
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- Authors
- Katritsis, D. G., Marine, J. E., Latchamsetty, R., Zografos, T., Tanawuttiwat, T., Sheldon, S. H., Buxton, A. E., Calkins, H., Morady, F., & Josephson, M. E.
- Affiliations
- Beth Israel Deaconess Medical Center (US)
- Corresponding author
- Katritsis, Demosthenes G.
- ORCID
- Venue
- Circulation Arrhythmia and Electrophysiology
- Published
- 2015-10
- Volume
- 8
- Issue
- 5
- Pages
- 1189-1193
- ISSN
- 1941-3084 (ISSN-L)
- 1941-3149
- PMC
- PMC4608481
- OpenAlex
- W1839553835
- Cited by
- 35
- References
- 22
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 2 · 2023: 2 · 2022: 4 · 2021: 5 · 2020: 1 · 2019: 3 · 2018: 6 · 2017: 3 · 2016: 3 · 2015: 1
- FWCI
- 3.15
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc-nd
- Locations
- Circulation Arrhythmia and Electrophysiology (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
- 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
- atrioventricular nodal reentrant tachycardia, slow-fast AVNRT, coronary sinus ostium, tachycardia cycle length, autonomic stimulation
- MeSH terms
- Adult, Aged, Female, Heart Conduction System, Humans, Male, Middle Aged, Tachycardia, Atrioventricular Nodal Reentry, Electrophysiologic Techniques, Cardiac
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