Disclosures: No disclosures for any of the authors.
“Pseudo PJRT”—Fast-Slow AV Nodal Reentrant Tachycardia Presenting with Tachycardia-Induced Cardiomyopathy
Article first published online: 1 SEP 2011
©2011, The Authors. Journal compilation ©2011 Wiley Periodicals, Inc.
Pacing and Clinical Electrophysiology
Volume 36, Issue 1, pages e4–e6, January 2013
How to Cite
SELVARAJ, R., ANANTHAKRISHNAPILLAI, A., SADASIVAM, R. and BALACHANDER, J. (2013), “Pseudo PJRT”—Fast-Slow AV Nodal Reentrant Tachycardia Presenting with Tachycardia-Induced Cardiomyopathy. Pacing and Clinical Electrophysiology, 36: e4–e6. doi: 10.1111/j.1540-8159.2011.03210.x
- Issue published online: 9 JAN 2013
- Article first published online: 1 SEP 2011
- Manuscript Accepted: 23 MAY 2011
- Manuscript Revised: 18 APR 2011
- Manuscript Received: 23 MAR 2011
A 52-year-old woman presented with left ventricular (LV) dysfunction and incessant narrow complex tachycardia. Electrocardiogram and clinical picture were suggestive of a permanent form of junctional reciprocating tachycardia, but electrophysiology study showed the tachycardia to be a fast-slow form of atrioventricular nodal reentrant tachycardia (AVNRT). Slow pathway ablation terminated the tachycardia and the LV dysfunction resolved completely at follow-up. Fast-slow AVNRT has not been reported to present in incessant form, and the mechanism in this patient was absent retrograde fast pathway conduction resulting in easy initiation and maintenance of tachycardia.
(PACE 2013; 36:e4–e6)