Atypical Atrioventricular Nodal Reentry Tachycardia with Eccentric Retrograde Left-Sided Activation of Coronary Sinus

Trajkov I.; Trajkov I.

Authors

Trajkov I.
Trajkov I.

Keywords:

atypical AVNRT, eccentric retrograde activation, catheter ablation

Abstract

Background: Recent anatomical and electro-physiological studies demonstrated, that in the human atrioventricular node there are two main extension, rightward and leftward posterior nodal extension (LPNE). The occurrence of eccentric retrograde atrial activation has been demonstrated to be from 6 to 8% in patients with AVNRT by several previous reports. Objectives: The study was performed to confirm that standard right atrium ablation is effective and successful for atrioventricular node reentry tachycardia (AVNRT) with eccentric retrograde left-sided activation, masquerading a tachycardia which look like as a tachycardia using left accessory pathway. Methods and Results: During a 7 years period (from 2002 to 2008), 865 consecutive patients underwent electrophysiological study. In the group with atrioventricular node reentry tachycardia (AVNRT) there were 178 patients. In the group with typical fast-slow AVNRT (162 pts) there was concentric retrograde activation of the both atrium.

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How to Cite

Atypical Atrioventricular Nodal Reentry Tachycardia with Eccentric Retrograde Left-Sided Activation of Coronary Sinus. (2013). Global Journal of Medical Research, 13(I2), 21-26. https://medicalresearchjournal.org/index.php/GJMR/article/view/395

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References

G Nam, K-S Rhee, J Kim, K Choi, Y Kim (2006) Left atrionodal connections in typical and atypical atrioventricular nodal re-entrant tachycardias: activation sequence in the coronary sinus and results of radiofrequency catheter ablation. 17, 1-7.

Pugazhendhi Vijayaraman, Lai Kok, Bunhi Rhee, Kenneth Ellenbogen (2004) Unusual variant of atrioventricular nodal reentrant tachycardia. 2(1), 100-102.

Chun Hwang, David Martin, Jeffrey Goodman, Eli Gang, William Mandel, Charles Swerdlow, C Peter, Peng-Sheng Chen (1997) Atypical Atrioventricular Node Reciprocating Tachycardia Masquerading as Tachycardia Using a Left-Sided Accessory Pathway. 30(1), 218-225.

Deborah Lockwood, Kenichiro Otomo, Zulu Wang, Sara Forresti, Hiroshi Nakagawa, Karen Beckman, Benjamin Scherlag, Eugene Patterson, Ralph Lazzara, Warren Jackman (2004) Electrophysiologic Characteristics of Atrioventricular Nodal Reentrant Tachycardia: Implications for the Reentrant Circuits. 537-557.

J Chen, F Anselme, T Smith, P Zimetbaum, L Epstein, P Papageorgiou, M Josephson (2004) Standard right atrial ablation is effective for atrioventricular nodal reentry with earliest activation in the coronarysinus. 15, 2-7.

K Otomo, H Okamura, T Noda, K Satomi, W Shimizu, K Suyama, T Kurita, N Aihara, S Kamakura (2006) Left-Variant" Atypical Atrioventricular Nodal Reentrant Tachycardia: Electrophysiological Characteristics and Effect of Slow Pathway Ablation within Coronary Sinus. 17(11), 1177-1183.

H Nawata, N Yamamoto, K Hirao, N Miyasaka, T Kawara, K Hiejima, T Harada, F Suzuki (1998) Heterogeneity of anterograde fast-pathway and retrograde slowpathway conduction patterns in patients with the fast-slow form of atrioventricular nodal reentrant tachycardia: electrophysiologic and electrocardiographic considerations. 32, 1731-1740.

Jeffrey Goldberger, Rodney Brooks, Alan Kadish (1992) Physiology of "Atypical" Atrioventricular Junctional Reentrant Tachycardia Occurring Following Radiofrequency Catheter Modification of the Atrioventricular Node. 15(12), 2270-2282.

S Owada, A Iwasa, S Sasaki, T Higuma, M Kimura, T Kobayashi, K Ashikaga, K Okumura (2005) V-H-A pattern" as a criterion for the differential diagnosis of atypical AV nodal reentrant tachycardia from AV reciprocating tachycardia. 28, 667-674.

M Mcguire, A Yip, K Lau, C Lo, D Richards, J Uther, D Ross (1994) Posterior ("atypical") atrioventricular junctional reentrant tachycardia. 73, 469-477.

Koichi Sakabe, Tetsuzo Wakatsuki, Hiroyuki Fujinaga, Yoshifumi Oishi, Jiro Ikata, Toshihiro Toyoshima, Norikazu Hiura, Akiyoshi Nishikado, Takashi Oki, Susumu Ito (2000) Patient with Atrioventricular Node Reentrant Tachycardia with Eccentric Retrograde Left-sided Activation. Treatment with Radiofrequency Catheter Ablation.. 41(2), 227-234.