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Diagnostic Pacing Maneuvers for Supraventricular Tachycardia: Part 1
Author(s) -
VEENHUYZEN GEORGE D.,
QUINN F. RUSSELL,
WILTON STEPHEN B.,
CLEGG ROBIN,
MITCHELL L. BRENT
Publication year - 2011
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.1540-8159.2011.03076.x
Subject(s) - medicine , entrainment (biomusicology) , supraventricular tachycardia , cardiac pacing , pace , tachycardia , intensive care medicine , cardiology , rhythm , geodesy , geography
This two‐part manuscript reviews diagnostic pacing maneuvers for supraventricular tachycardia (SVT). Part one will involve a detailed consideration of ventricular overdrive pacing (VOP), since this pacing maneuver provides the diagnosis in the majority of cases. This will include a review of the post‐VOP response, fusion during entrainment, the importance of the VOP site, quantitative results of entrainment such as the postpacing interval, differential entrainment, and new criteria derived from features found at the beginning of the VOP train. There is a considerable literature on this topic, and this review is by no means meant to be all‐encompassing. Rather, we hope to clearly explain and illustrate the physiology, strengths, and weaknesses of what we consider to be the most important and commonly employed diagnostic pacing maneuvers, that is, those that trainees in cardiac electrophysiology should be well familiar with at a minimum. (PACE 2011; 767–782)