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Unusual response to His-synchronous ventricular stimulation during a supraventricular tachycardia: Atrial advancement with or without resetting?

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Araas-Dursun-2022.pdf (618.01 KB)

Date

2022

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Volume Title

Publisher

Wiley

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info:eu-repo/semantics/embargoedAccess

DOI

10.1111/jce.15649

Abstract

A59?year?old man underwent a diagnostic electrophysiology studybecause of rapid palpitations and documented supraventriculartachycardia (SVT) unresponsive to metoprolol therapy. His 12?leadelectrocardiogram was normal. Baseline atrio?His and His?ventricularintervals measured 48 and 48 ms, respectively. Programmed atrialextrastimulation using single atrial extrastimuli repeatedly induced hisSVT. The response to His refractory ventricular extra stimulations(Hr?VESs) is shown in Figure1. Based on the information, what arethe mechanisms of his tachycardia and apparently discordantresponses?

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Keywords

Electrophysiological Mechanism , His Refractory , His-Synchronous , Reset , Resetting , Supraventricular Tachycardia , VES

Journal or Series

Journal of Cardiovascular Electrophysiology

WoS Q Value

Q3

Scopus Q Value

Q1

Volume

33

Issue

10

Citation

Merovci, I., Gülcü, O., Tunçez, A., Kara, M., Özcan Çetin, E. H., Yüksekkaya, B. ... Topaloğlu, S. (2022). Unusual response to His-synchronous ventricular stimulation during a supraventricular tachycardia: Atrial advancement with or without resetting? Journal of Cardiovascular Electrophysiology, 33(10), 2217-2219. https://doi.org/10.1111/jce.15649

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https://doi.org/10.1111/jce.15649
 https://hdl.handle.net/20.500.12511/10115

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info:eu-repo/semantics/embargoedAccess