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…
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…
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…
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…
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…
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…
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…
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…
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…
Abstract Sinus tachycardia is a physiological response to sympathetic activation and/or parasympathetic withdrawal. Inappropriate sinus tachycardia (IST) is a nonparoxysmal tachyarrhythmia characterized by a persistent increase in resting sinus rate…
