Key result
His bundle recordings in 5 patients with paroxysmal supraventricular tachycardia demonstrated that the site of reentry responsible for the arrhythmia was located in the A-V node.
Why the study?
What is the site of reentry in patients with paroxysmal supraventricular tachycardia?
Observational (n=5)
What is the site of reentry in patients with paroxysmal supraventricular tachycardia?
This electrophysiological study demonstrated that the A-V node is the site of reentry in paroxysmal supraventricular tachycardia.
Answers are grounded in this paper and cite their sources.
Supports AV nodal reentry in PSVT; leaves open validation in larger prospective cohorts.
His bundle recordings during spontaneous and induced episodes of paroxysmal supraventricular tachycardia (SVT) demonstrated that the site of reentry responsible for this arrhythmia was in the A-V node. In five patients studied, A-V conduction time and refractory periods were normal, but atrial premature depolarizations (APD) within a portion of the relative refractory period of the A-V node consistently produced atrial reentry—echoes or sustained SVT. In two patients, APDs falling within the A-V effective refractory period failed to excite the His bundle but still reentered within the A-V node and began SVT. It was noted that the various relationships between atrial and ventricular depolarizations on the surface ECG did not reflect different mechanisms for SVT, but only variations in A-V nodal conduction time.
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Goldreyer et al. (1971) conducted an observational in Paroxysmal supraventricular tachycardia (SVT) (n=5). His bundle recordings was evaluated on Site of reentry responsible for SVT. His bundle recordings in 5 patients with paroxysmal supraventricular tachycardia demonstrated that the site of reentry responsible for the arrhythmia was located in the A-V node.
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