EGC diagnosis of paroxysmal supraventricular tachycardias in patients without preexcitation.
This review is aimed at discussing the diagnostic value of the different electrocardiographic criteria so far described in the differential diagnosis of the major forms of paroxysmal supraventricular tachycardias (PSVTs). The predictive value of different combinations of these independent electrocardiographic (ECG) signs in distinguishing atrioventricular reentrant tachycardias (AVRTs) through a concealed accessory pathway (AP) versus atrioventricular nodal reentrant tachycardias (AVNRTs) are discussed in detail. In addition, the adjunctive diagnostic value of simple, bedside clinical variables and their combinations to the ECG interpretation in differentiating both tachycardia mechanisms is also reviewed.
Arrhythmia Unit, Cardiology Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain. etorrecilla@telefonica.net
Esteban
E
González-Torrecilla
Angel
A
Arenal
Felipe
F
Atienza
Tomás
T
Datino
Leonardo F
LF
Atea
David
D
Calvo
Marta
M
Pachón
Angel
A
Miracle
Francisco
F
Fernández-Avilés
D003937:Diagnosis, Differential; D004562:Electrocardiography; D006329:Heart Conduction System / Q000503:physiopathology; D006801:Humans; D016015:Logistic Models; D013611:Tachycardia, Atrioventricular Nodal Reentry / Q000175:diagnosis* / Q000503:physiopathology; D013617:Tachycardia, Supraventricular / Q000175:diagnosis* / Q000503:physiopathology
Circulation. 1983 Aug;68(2):368-73
6861312
Heart Rhythm. 2004 Oct;1(4):393-6
15851189
Am J Cardiol. 2005 Apr 1;95(7):875-8
15781021
Pacing Clin Electrophysiol. 2003 Dec;26(12):2296-300
14675015
Europace. 2008 May;10(5):624-8
18400770
J Am Coll Cardiol. 2009 Jun 23;53(25):2353-8
19539146
Am J Cardiol. 1984 Sep 1;54(6):555-60
6475772
Am J Cardiol. 2003 May 1;91(9):1084-9
12714151
Am J Cardiol. 1987 Feb 1;59(4):296-300
3812278
J Am Coll Cardiol. 1997 Feb;29(2):394-402
9014995
Europace. 2009 Jul;11(7):944-8
19525496
J Am Coll Cardiol. 2001 Jul;38(1):173-7
11451269
J Am Coll Cardiol. 1993 Jan;21(1):85-9
8417081
Pacing Clin Electrophysiol. 1998 Nov;21(11 Pt 2):2431-9
9825362
J Am Coll Cardiol. 1987 Mar;9(3):489-99
3819196
Circulation. 2003 Oct 14;108(15):1871-909
14557344
J Am Coll Cardiol. 1995 Nov 1;26(5):1315-24
7594049
J Am Coll Cardiol. 1996 May;27(6):1480-5
8626962
J Am Coll Cardiol. 2006 Sep 5;48(5):1010-7
16949495
Am J Cardiol. 2003 Dec 15;92(12):1424-8
14675578
Ann Noninvasive Electrocardiol. 2002 Apr;7(2):120-6
12049683