Decremental Properties of a Concealed Nodoventricular Pathway
- Koumei Onuki,
- Koichi Nagashima,
- Yasuharu Matsunaga-Lee,
- Masato Fukunaga,
- Kenichi Hiroshima,
- Kenji Ando,
- Melvin M. Scheinman
Melvin M. Scheinman
University of California San Francisco Division of Cardiology
Author ProfileAbstract
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The decremental properties of the nodoventricular pathway (NVP) are
uncertain. During short RP supraventricular tachycardia, a
His-refractory premature ventricular contraction (PVC) consistently
terminated the tachycardia without atrial capture immediately after the
PVC. Whereas a slightly earlier PVC failed to reset the subsequent His
but terminated the tachycardia without atrial capture one cycle later.
These observations are diagnostic of slow-fast atrioventricular nodal
reentrant tachycardia (AVNRT) with a bystander concealed-NVP and can be
explained by decremental properties in the NVP itself; greater
prematurity of the PVC resulted in more decremental conduction over the
NVP, causing the AVNRT termination one cycle later.23 Jul 2024Submitted to Journal of Cardiovascular Electrophysiology 24 Jul 2024Submission Checks Completed
24 Jul 2024Assigned to Editor
24 Jul 2024Review(s) Completed, Editorial Evaluation Pending
27 Jul 2024Reviewer(s) Assigned
04 Aug 2024Editorial Decision: Revise Minor
16 Aug 20241st Revision Received
22 Aug 2024Submission Checks Completed
22 Aug 2024Assigned to Editor
22 Aug 2024Review(s) Completed, Editorial Evaluation Pending
22 Aug 2024Reviewer(s) Assigned
02 Sep 2024Editorial Decision: Accept