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“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 |
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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.