conclusions diagnosis of tachycardia-induced cardiomyopathy in children is important, since appropriate treatment improves the prognosis. every child with recurrent and persistent palpitation with the first episode of congestive heart failure should be evaluated for tachycardia- induced cardiomyopathy. introduction tachycardia-induced cardiomyopathy (tic) is a ventricular dysfunction secondary ...

INTRODUCTION Standard electrophysiologic techniques generally allow discrimination among mechanisms of paroxysmal supraventricular tachycardia. The purpose of this study was to determine whether the response of paroxysmal supraventricular tachycardia to atrial and ventricular overdrive pacing can help determine the tachycardia mechanism. METHODS AND RESULTS Fifty-three patients with paroxysma...

OBJECTIVES This study was performed to determine the incidence of symptomatic, sustained atrial fibrillation in a group of patients with paroxysmal supraventricular tachycardia. The effects of the mechanism of paroxysmal supraventricular tachycardia (atrioventricular [AV] node reentry vs. AV reentry through an accessory pathway) and heart rate during the tachycardia on the occurrence of atrial ...

propafenone hci (p), is a relatively new class ic antiarrhythmic agent. it has been reported to be superior to conventional antiarrhythmics in the control of supraventricular, ventricular and wpw associated tachyarrhythmias. it has been also shown to be well tolerated. in our study protocol, which extends over 2~ years period , we used (p) in 87 patients for management of various types of cardi...

BACKGROUND Ambulatory outpatients (n = 150) with a history of paroxysmal supraventricular arrhythmia were studied to establish the characteristics of the first recurrence of symptomatic tachycardia (time to first recurrence, heart rate during tachycardia, and observed rhythm that was regular versus irregular) when no antiarrhythmic drug was being taken. Baseline variables were examined to asses...

BACKGROUND The relationship between autonomic activation and the mechanisms of paroxysmal atrial fibrillation remains unclear. METHODS AND RESULTS We implanted a pacemaker and a radio transmitter in 7 dogs (group 1). After baseline recording, we paced the left atrium at 20 Hz for 1 week and then monitored left stellate ganglion nerve activity, left vagal nerve activity, and left atrial electr...

Background—Little is known about the relationship between intrinsic cardiac nerve activity (ICNA) and spontaneous arrhythmias in ambulatory animals. Methods and Results—We implanted radiotransmitters to record extrinsic cardiac nerve activity (ECNA; including stellate ganglion nerve activity and vagal nerve activity) and ICNA (including superior left ganglionated plexi nerve activity and ligame...

A 25-year-old woman with a 5-year history of paroxysmal supraventricular tachycardia underwent an electrophysiologic procedure. The baseline sinus cycle length, atrial–His-bundle (AH) interval, and His-bundle–ventricular (HV) interval were 750, 60, and 50 msec, respectively. Paroxysmal supraventricular tachycardia with a cycle length of 320 msec was induced by programmed atrial stimulation with...

BACKGROUND Little is known about the relationship between intrinsic cardiac nerve activity (ICNA) and spontaneous arrhythmias in ambulatory animals. METHODS AND RESULTS We implanted radiotransmitters to record extrinsic cardiac nerve activity (ECNA; including stellate ganglion nerve activity and vagal nerve activity) and ICNA (including superior left ganglionated plexi nerve activity and liga...

Plasma concentrations of immunoreactive atrial natriuretic polypeptide were raised in 22 of 23 patients with paroxysmal supraventricular tachycardia and in all seven patients with atrial flutter. Plasma concentrations of atrial natriuretic polypeptide rose soon after the onset of supraventricular tachycardia. A sample taken 30 minutes after reversion to sinus rhythm (pharmacological or non-phar...