Ventricular Arrhythmias in Ischemic Heart Disease

Feb 22, 2019 by in CARDIOLOGY Comments Off on Ventricular Arrhythmias in Ischemic Heart Disease

Abstract Coronary heart disease is the most common cause of clinically documented ventricular tachycardia (VT). The majority of sustained monomorphic VTs in patients with prior myocardial infarction (MI) are caused…

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Fascicular Ventricular Tachycardia

Feb 22, 2019 by in CARDIOLOGY Comments Off on Fascicular Ventricular Tachycardia

Abstract Idiopathic fascicular ventricular tachycardia (VT) is a reentrant tachycardia involving the left fascicular Purkinje system. The reentry circuit is most commonly (90%) located in the territory of the left…

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Focal Atrial Tachycardia

Feb 22, 2019 by in CARDIOLOGY Comments Off on Focal Atrial Tachycardia

Abstract Focal atrial tachycardia (AT) is characterized by atrial activation starting at a small area (focus), from which it spreads out centrifugally. “Focal” implies that the site of origin cannot…

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Atrioventricular Nodal Reentrant Tachycardia

Feb 22, 2019 by in CARDIOLOGY Comments Off on Atrioventricular Nodal Reentrant Tachycardia

Abstract Atrioventricular nodal reentrant tachycardia (AVNRT) is the most common form of paroxysmal supraventricular tachycardia. The exact electroanatomic circuit responsible for AVNRT remains elusive. Current evidence suggests that dual atrioventricular…

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Typical Atrial Flutter

Feb 22, 2019 by in CARDIOLOGY Comments Off on Typical Atrial Flutter

Abstract The term typical atrial flutter (AFL) is reserved for a macroreentrant circuit with the activation wavefront rotating clockwise or counterclockwise around the tricuspid annulus and using the cavotricuspid isthmus…

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Wide Complex Tachycardias

Feb 22, 2019 by in CARDIOLOGY Comments Off on Wide Complex Tachycardias

Abstract Wide complex tachycardia (WCT) is a rhythm with a rate of more than 100 beats/min and a QRS duration of more than 120 milliseconds. Several arrhythmias can manifest as…

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Paroxysmal Supraventricular Tachycardias

Feb 22, 2019 by in CARDIOLOGY Comments Off on Paroxysmal Supraventricular Tachycardias

Abstract A “supraventricular” origin of a tachycardia implies the obligatory involvement of one or more cardiac structures above the bifurcation of the His bundle (HB), including atrial myocardium, atrioventricular node…

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Macroreentrant Atrial Tachycardia

Feb 22, 2019 by in CARDIOLOGY Comments Off on Macroreentrant Atrial Tachycardia

Abstract Organized atrial tachycardias (ATs) are broadly categorized as either focal (centrifugal activation originating from a discrete site that incorporates automaticity, triggered activity, and microreentrant mechanisms) or macroreentrant (a relatively…

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Atypical Bypass Tracts

Feb 22, 2019 by in CARDIOLOGY Comments Off on Atypical Bypass Tracts

Abstract A working definition of an atypical bypass tract (BT) is a conduc­tion pathway that bypasses all or part of the normal conduction system but is not a rapidly conducting…

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