Exploring Pathway Responses And Pseudo-Intervals In Re-Entrant
Tachycardia: A Case Study
Abstract
It is well accepted that Atrioventricular nodal re-entrant tachycardia
(AVNRT) involves only a portion of the atria, while most of the atria,
HIS bundle, and ventricle are not part of the re-entrant circuit.
However, the exact nature of the circuit and the role of the upper and
lower common pathways in AVNRT are not well defined. This study presents
a case where re-entrant tachycardia exhibits spontaneous variability in
intracardiac intervals. Electrophysiological manoeuvres elicit different
responses due to the bystander pathway. The electrophysiological basis
of these findings and their clinical implications are discussed.