“On-Off” phenomenon in a case of concealed left lateral atrio-ventricular accessory pathway - What is the mechanism?

oleh: Sanjeev S. Mukherjee, Debabrata Bera, Ashesh Halder, Saroj Kumar Choudhury

Format: Article
Diterbitkan: Elsevier 2024-05-01

Deskripsi

We report a case of symptomatic supraventricular tachycardia who had absent VA conduction during electrophysiology study. The interesting finding was appearance of VA conduction only at a specific cycle length of ventricular pacing which reproducibly induced a sustained orthodromic re-entrant tachycardia (ORT). We review the literature and conclude that supernormal AP conduction can explain such phenomenon.