Frequency dependent shortening of conduction time through the reentrant pathway during transient entrainment of ventricular tachycardia

Pacing Clin Electrophysiol. 1998 Jan;21(1 Pt 1):126-9. doi: 10.1111/j.1540-8159.1998.tb01071.x.

Abstract

In a patient with nonischemic ventricular tachycardia (VT), VT was entrained and the conduction time from the pacing site to the entrained local electrogram showed a rate dependent shortening and its degree affected by the pacing site. The QRS complex, which was entrained by the last pacing stimulus, was constant and identical to that of VT and no rate dependent facilitated conduction was observed when the heart was paced at similar paced cycle lengths during sinus rhythm. As the mechanism of the shortening of the conduction time through the reentrant circuit, a shift of the entrance seems most likely.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Bundle of His / physiopathology
  • Cardiac Pacing, Artificial
  • Electrocardiography
  • Heart Aneurysm / physiopathology
  • Heart Rate
  • Humans
  • Male
  • Tachycardia, Ventricular / diagnosis
  • Tachycardia, Ventricular / physiopathology*
  • Ventricular Dysfunction, Right / diagnosis
  • Ventricular Dysfunction, Right / physiopathology