This patient has an arrhythmia with orthodromic circus movement tachycardia and dual AV-nodal pathways. In addition, the ECG shows a Brugada pattern. The resting ECG (Fig. 1a) shows sinus rhythm and a type 2 Brugada pattern. The 12-lead ECG during arrhythmia (Fig. 1b) shows a narrow QRS rhythm, 88 bpm (cycle length: 680 ms) with a 1:1 AV ratio. The P waves are narrow and inverted in leads II, I...

We present a case of 75-year-old man with numerous inappropriate interventions of an implanted cardioverter-defibrillator (ICD). In this patient with ischaemic cardiomyopathy, ICD was implanted for primary prevention of sudden cardiac death following recurrent syncope. ICD interrogation and non-invasive electrophysiologic study (NIPS) confirmed a risk of reentry-mediated tachycardia and exclude...

introduction: the ablation technique is one of the important therapeutic interventions for treatment of av nodal tachyarrhythmia. different animal models have been developed to study the effects of ablation on the functional interanodal structure. the aim of the present study was to develop a new model of computer analysis to produce lesions by using direct voltage in isolated perfused rabbit a...

Alternating WEnckebach periodicity is generally believed to reflect bilevel block due to horizontal electrophysiologic dissociation in the conducting tissues. We describe a case of atrial pacing-induced atrioventricular nodal alternating Wenckebach periodicity with concealed reentry in a longitudinally dissociated AV conduction system. Three observations support this unique mechanism: Concealed...

anotomical boundary of atrioventricular node reentrant tachycardia (avnrt) is composed of fast and slow pathways right atrium in upper turnaround and common distal pathway in lower turnaround. we performed electophsiologic study (eps) in 152 patients and could show the existence of distal common pathway with decremental conduction properties in approximately 40 patients.

av-node modification by catheter rf energy delivery is treatment of choice in the symptomatic patients with avnrt. this study included 30 patients with avnrt (19 women, 11 men). we did slow pathway ablation in 29 cases successfully. maximum effective energy delivery was 40 watts for 40 msec. 1:1 av conduction increased from 290±40 msec before ablation to 340±65 msec after ablation. also av-node...

His bundle ablation was performed in a 48 year old man with drug refractory orthodromic atrioventricular reentrant tachycardia and paroxysmal atrial fibrillation. Reentry was caused by a left free wall concealed accessory pathway. Interruption of the His bundle by low energy direct current shock (25 J) was quickly followed by anterograde conduction via the accessory pathway, with various forms ...

Introduction: The ablation technique is one of the important therapeutic interventions for treatment of AV Nodal tachyarrhythmia. Different animal models have been developed to study the effects of ablation on the functional interanodal structure. The aim of the present study was to develop a new model of computer analysis to produce lesions by using direct voltage in isolated perfused rabbi...