Differentiating atrioventricular nodal reentrant tachycardia from tachycardia via concealed accessory pathway.
Studies analyzing the diagnostic value of 12-lead electrocardiographic criteria differentiating slow-fast atrioventricular nodal reentrant tachycardia (AVNRT) from atrioventricular reentrant tachycardia (AVRT) due to concealed accessory pathway have shown inconsistent results. In 97 patients (50 with AVNRT, 47 with AVRT) 12-lead electrocardiograms (ECGs) were recorded during sinus rhythm and tachycardia (QRS <120 ms). The ECGs were blinded for diagnosis and patient and analyzed independently by 2 electrophysiologists. The studied criteria differentiating AVNRT from AVRT included pseudo-r'/S, the presence of a retrograde P wave, RP interval, ST-segment depression >/=2 mm with the number and location of the affected leads, QRS amplitude, and cycle length alternans.
Arya
Arash
A
Heart Center, Department of Electrophysiology, University of Leipzig, Leipzig, Germany.
Kottkamp
Hans
H
Piorkowski
Christopher
C
Schirdewahn
Petra
P
Tanner
Hildegard
H
Kobza
Richard
R
Dorszewski
Anja
A
Gerds-Li
Jing-Hong
JH
Hindricks
Gerhard
G
D000328:Adult; D000465:Algorithms; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013610:Tachycardia / Q000175:diagnosis; D013611:Tachycardia, Atrioventricular Nodal Reentry / Q000175:diagnosis*