REENTRANT FASCICULAR TACHYCARDIA WITH CYCLE LENGTH ALTERNANS - INSIGHTS INTO THE TACHYCARDIA MECHANISM AND ORIGIN

被引:14
作者
TAI, YT
FONG, PC
LAU, CP
CHOW, WH
CHENG, CH
机构
[1] Division of Cardiology, University Department of Medicine, Queen Mary Hospital
来源
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 1990年 / 13卷 / 07期
关键词
cycle length alternans; electrophysiological study; fascicular tachycardia;
D O I
10.1111/j.1540-8159.1990.tb02127.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This report details the electrophysiology of a unique case of reentrant fascicular tachycardia in a patient without structural heart disease. Persistent cycle length alternans, with constant fluctuation in alternate RR intervals, occurred during tachycardia. A distinct mode of spontaneous termination of tachycardia was observed. The findings were consistent with the presence of decrementel conduction properties in the tachycardia circuit or decrementel dual functional pathways within one limb of the circuit. These observations provide further evidence in support of a fascicular origin of the tachycardia. Copyright © 1990, Wiley Blackwell. All rights reserved
引用
收藏
页码:900 / 907
页数:8
相关论文
共 16 条
[11]  
MCCOMB JM, 1988, CIRCULATION, V78, P41
[12]   IDIOPATHIC SUSTAINED LEFT-VENTRICULAR TACHYCARDIA - CLINICAL AND ELECTROPHYSIOLOGIC CHARACTERISTICS [J].
OHE, T ;
SHIMOMURA, K ;
AIHARA, N ;
KAMAKURA, S ;
MATSUHISA, M ;
SATO, I ;
NAKAGAWA, H ;
SHIMIZU, A .
CIRCULATION, 1988, 77 (03) :560-568
[13]  
Pick A, 1973, Cardiovasc Clin, V5, P113
[14]   COMPENSATING CONDUCTION TIMES AS A MECHANISM FOR ALTERNATION DURING RECIPROCATING TACHYCARDIA [J].
SCHAMROTH, L ;
SARELI, P .
JOURNAL OF ELECTROCARDIOLOGY, 1986, 19 (03) :291-294
[15]  
VOHRA J, 1974, BRIT HEART J, V36, P570
[16]   FASCICULAR TACHYCARDIA SENSITIVE TO CALCIUM-ANTAGONISTS [J].
WARD, DE ;
NATHAN, AW ;
CAMM, AJ .
EUROPEAN HEART JOURNAL, 1984, 5 (11) :896-905