An electrophysiologic procedure was performed in a 50-year-old man with a 20-year history of paroxysmal tachycardia. During sinus rhythm, the atrial-His (AH) interval was 70 msec, the His-ventricular (HV) interval was 45 msec, and the QRS width was 80 msec. During atrial pacing at a cycle length of 290 msec, there was widening of the QRS complex (Fig. 1). The transition from a narrow to wide QR...

Background: Paroxysmal Supraventricular Tachycardia is a type of tachycardia (SVT) and defined as intermittent SVT typically presents with ventricular rhythm 160 bpm. The patient morbidity paroxysmal supraventricular (PSVT) directly proportional to the frequency episodes, it can be life-threatening in patients atrial fibrillation pre-excitation. Its management depends varies according severity ...

We studied transient entrainment and interruption of atrioventricular (AV) bypass pathway-type paroxysmal atrial tachycardia in 15 patients during overdrive pacing from selected atrial sites. Overdrive atrial pacing at less than a critically rapid rate for interruption transiently entrained the tachycardia. Transient entrainment was due to repeated early entrance of the wave front from the paci...

OBJECTIVES The purpose of this study was to define the incidence, mechanisms, and management, including catheter ablation, of supraventricular tachycardia (SVT) in a large series of patients after orthotopic heart transplantation (OHT). BACKGROUND Supraventricular arrhythmias are frequently encountered after OHT, but their characteristics in this population have not been well established. M...

The common atrioventricular nodal re-entry tachycardia is the most common form of paroxysmal supraventricular tachycardia. It starts frequently with a supraventricular ectopic beat that, on finding the fast pathway in refractory period, travels in the slow pathway as to appear as a prolongation of the PR interval on the ECG. In this study, we show a singular case of a common atrioventricular no...

A 34-year-old woman with a long history of paroxysmal supraventricular tachycardia underwent an electrophysiologic procedure. The baseline sinus cycle length, atrial-His (AH), and His-ventricular (HV) intervals were 720, 70, and 50 msec, respectively. A narrow-QRS complex tachycardia was induced by ventricular pacing at a cycle length of 380 msec (Fig. 1). The tachycardia cycle length was 400 m...

We treated a patient with dilated cardiomyopathy (DCM) and sustained ventricular tachycardia by an implantable cardioverter defibrillator (ICD). He then suffered from inappropriate ICD shocks triggered by paroxysmal atrial fibrillation (AF). We successfully performed pulmonary vein orifice isolation to eliminate paroxysmal AF. The pulmonary vein orifice isolation was a simple and useful procedu...

Introduction Swallowing-induced tachyarrhythmia is a rare clinical entity, and is defined as supraventricular tachyarrhythmia, such as atrial premature contractions (APCs), paroxysmal atrial tachycardia (AT), and paroxysmal atrial fibrillation, that is reproducibly and consistently induced during a wet or dry swallow. Although the first case of a swallowing-induced tachyarrhythmia was reported ...