Differentiating atrioventricular nodal reentrant tachycardia from tachycardia via concealed accessory pathway - 21/08/11
, Petra Schirdewahn, MD, Hildegard Tanner, MD, Richard Kobza, MD, Anja Dorszewski, MD, Jing-Hong Gerds-Li, MD, Gerhard Hindricks, MDRésumé |
Studies analyzing the diagnostic value of 12-lead electrocardiographic criteria differentiating slow–fast atrioventricular nodal reentrant tachycardia (AVNRT) from atrioventricular reentrant tachycardia (AVRT) due to concealed accessory pathway have shown inconsistent results. In 97 patients (50 with AVNRT, 47 with AVRT) 12-lead electrocardiograms (ECGs) were recorded during sinus rhythm and tachycardia (QRS <120 ms). The ECGs were blinded for diagnosis and patient and analyzed independently by 2 electrophysiologists. The studied criteria differentiating AVNRT from AVRT included pseudo-r′/S, the presence of a retrograde P wave, RP interval, ST-segment depression ≥2 mm with the number and location of the affected leads, QRS amplitude, and cycle length alternans.
Le texte complet de cet article est disponible en PDF.| Dr. Tanner was supported by a grant from the Swiss National Research Foundation, Bern, Switzerland. |
Vol 95 - N° 7
P. 875-878 - avril 2005 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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