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Refractory Supraventricular Reentry Tachycardia Treated by Radiofrequency Atriai Pacemaker
Author(s) -
SOLTI FRANCIS,
SZABÓ ZOLTÁN,
CZAKÓ ELMER,
BODOR ALEX,
RÉNYIVÁMOS FRANCIS
Publication year - 1982
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1982.tb02225.x
Subject(s) - medicine , reentry , supraventricular tachycardia , cardiology , supraventricular arrhythmia , tachycardia , paroxysmal supraventricular tachycardia , stimulation , anesthesia , refractory (planetary science) , atrial fibrillation , atrioventricular block , atrial tachycardia , catheter ablation , physics , astrobiology
The authors report on a case of drug‐resistant supraventricular tachycardia with frequent and long‐lasting paroxysmal attacks. Electrophysiologic study revealed that the supraventricular tachycardia was based on a reentry circuit. The attack was regularly induced by premature delay 340‐400 ms atrial stimulation and il could aiways be terminated by rapid atrial stimulation within 1‐2 seconds. Atrioventricular 2:1 hlock occurred with very rapid atrial stimulation of > 190/min. The patient received a radiofrequency atrial pacemaker, and at the first sign of a tachyarrliythmia he switched on the instrument for 1–2 sec. and the attack was promptly terminated, (PACE, Vol. 5, March‐April, 1982)