Accessory pathway with two conduction times

J Interv Card Electrophysiol. 2004 Aug;11(1):29-32. doi: 10.1023/B:JICE.0000035926.06422.27.

Abstract

A 48-year old man was referred for frequent paroxysmal narrow QRS tachycardias. Either a rapid orthodromic tachycardia (220 b/min) using a fast-conducting left lateral concealed atrioventricular (AV) accessory pathway (AP) for its retrograde conduction or a slow orthodromic tachycardia (125 b/min) using the same concealed AP which was slow-conducting, were induced. One application of radiofrequency energy at the earliest site of retrograde conduction suppressed both forms of tachycardias. Reciprocating tachycardias presenting with different retrograde conduction times were related to a single reentrant circuit.

Publication types

  • Case Reports

MeSH terms

  • Catheter Ablation
  • Electrocardiography
  • Heart Atria / physiopathology
  • Heart Atria / surgery
  • Heart Conduction System / physiopathology*
  • Heart Conduction System / surgery
  • Heart Ventricles / physiopathology
  • Heart Ventricles / surgery
  • Humans
  • Male
  • Middle Aged
  • Tachycardia, Paroxysmal / physiopathology*
  • Tachycardia, Paroxysmal / surgery