Profound Hypotension Due to Slow Atrioventricular Nodal Pathway Conduction during Atrial Tachycardia

被引：1
|
作者：
Nazarian, Saman [1 ]
Dong, Jun [1 ]
Tomaselli, Gordon F. [1 ]
Marine, Joseph E. [1 ]
机构：
[1] Johns Hopkins Univ, Sch Med, Dept Med, Div Cardiol, Baltimore, MD 21205 USA
来源：
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 2009年 / 32卷 / 02期
关键词：
dual atrioventricular nodal physiology; atrial tachycardia; atrioventricular synchrony; hemodynamics; REENTRANT TACHYCARDIA; MANIFESTATIONS; ABLATION; BLOCK;
D O I：
10.1111/j.1540-8159.2008.02216.x
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Paroxysmal supraventricular tachycardia (SVT) may have a variety of hemodynamic effects depending on rate, patient volume status, and presence of structural heart disease or left bundle branch block. We report a case of a patient with atrial tachycardia and dual atrioventricular (AV) nodal physiology who developed profound hypotension during transition from fast to slow AV nodal pathway conduction, despite similar tachycardia cycle length. This case illustrates the potential importance of AV timing in determining the hemodynamic effect of SVT. (PACE 2009; 32:278-280).
引用
收藏
页码：278 / 280
页数：3
相关论文
共 50 条
  • [1] Atrial tachycardia with slow pathway conduction mimicking typical atrioventricular nodal reentrant tachycardia
    Yamada, Takumi
    Huizar, Jose F.
    McElderry, Hugh T.
    Kay, G. Neal
    EUROPACE, 2007, 9 (05): : 299 - 301
  • [2] Atrial activation during atrioventricular nodal reentrant tachycardia: Studies on retrograde fast pathway conduction
    Katritsis, Demosthenes G.
    Ellenbogen, Kenneth A.
    Becker, Anton E.
    HEART RHYTHM, 2006, 3 (09) : 993 - 1000
  • [3] Advantages of the catheter ablation of nodal slow pathway during atrioventricular nodal tachycardia
    Speranza, R.
    Costa, G.
    Mayo, O. Perez
    Stefani, A.
    Deluso, D.
    Alfie, A.
    Balestrini, A.
    De Zuloaga, C.
    CIRCULATION, 2008, 118 (12) : E467 - E467
  • [4] TREATMENT OF SUPRAVENTRICULAR TACHYCARDIA DUE TO ATRIOVENTRICULAR NODAL REENTRY BY RADIOFREQUENCY CATHETER ABLATION OF SLOW-PATHWAY CONDUCTION
    JACKMAN, WM
    BECKMAN, KJ
    MCCLELLAND, JH
    WANG, XZ
    FRIDAY, KJ
    ROMAN, CA
    MOULTON, KP
    TWIDALE, N
    HAZLITT, HA
    PRIOR, MI
    OREN, J
    OVERHOLT, ED
    LAZZARA, R
    NEW ENGLAND JOURNAL OF MEDICINE, 1992, 327 (05): : 313 - 318
  • [5] Retrograde slow pathway conduction patients with atrioventricular nodal re-entrant tachycardia
    Katritsis, Demosthenes G.
    Ellenbogen, Kenneth A.
    Becker, Anton E.
    Camm, A. John
    EUROPACE, 2007, 9 (07): : 458 - 465
  • [6] The "window" of slow pathway conduction after ablation and recurrence of atrioventricular nodal reentrant tachycardia
    Wimmer, AP
    Shapiro, ML
    JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY, 2002, 6 (01) : 51 - 57
  • [7] The “Window” of Slow Pathway Conduction after Ablation and Recurrence of Atrioventricular Nodal Reentrant Tachycardia
    Alan P. Wimmer
    Michael L. Shapiro
    Journal of Interventional Cardiac Electrophysiology, 2002, 6 : 51 - 57
  • [8] Slow pathway modification for atrioventricular nodal Reentrant tachycardia
    Kaltman, JR
    Rhodes, LA
    Wieand, TS
    Ennis, JE
    Vetter, VL
    Tanel, RE
    AMERICAN JOURNAL OF CARDIOLOGY, 2004, 94 (10): : 1316 - 1319
  • [9] Entrainment mapping in patients with sustained atrioventricular nodal reentrant tachycardia: Insights into the sites of conduction slowing in the slow atrioventricular nodal pathway
    Haines, DE
    Nath, S
    DiMarco, JP
    Lobban, JH
    AMERICAN JOURNAL OF CARDIOLOGY, 1997, 80 (07): : 883 - 888
  • [10] ANATOMIC SUBSTRATE OF THE SLOW ATRIOVENTRICULAR NODAL PATHWAY IN AN EXPERIMENTAL ATRIOVENTRICULAR NODAL REENTRANT TACHYCARDIA
    LIN, FY
    LIN, JL
    LO, HM
    INTERNATIONAL JOURNAL OF CARDIOLOGY, 1994, 47 (02) : 157 - 163
12345