Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2016 Jan 15;2(2):142-145.
doi: 10.1016/j.hrcr.2015.11.012. eCollection 2016 Mar.

Incessant atrioventricular nodal reentrant tachycardia with tachycardia-induced cardiomyopathy, biventricular thrombosis, and pulmonary emboli

Nicholas Meti  1 , François-Pierre Mongeon  1 , Peter G Guerra  1 , Eileen O'Meara  1 , Paul Khairy  1
Affiliations
Case Reports

Incessant atrioventricular nodal reentrant tachycardia with tachycardia-induced cardiomyopathy, biventricular thrombosis, and pulmonary emboli

Nicholas Meti et al. HeartRhythm Case Rep. .
No abstract available

Keywords: Atrioventricular nodal reentrant tachycardia; Intracardiac thrombus; Pulmonary emboli; Tachycardia-induced cardiomyopathy.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Presenting electrocardiogram. The electrocardiogram shows a narrow complex tachycardia at 180 beats/min with RP interval < PR interval.
Figure 2
Figure 2
Ventricular thrombi and pulmonary emboli. A: A cardiac magnetic resonance view in a 4-chamber orientation. Early gadolinium enhancement imaging reveals the presence of avascular masses in the right ventricle (RV) and left ventricle (LV), suggestive of thrombi. B and C: Computed tomographic images. In panels B and C, multiplanar reconstruction images of the left inferior lobe pulmonary artery (LPA) and interlobar right pulmonary artery (RPA) show sharply defined filling defects (asterisk), consistent with bilateral pulmonary emboli. D: A triangular opacity in the right upper lobe along the anterior chest wall (arrow), consistent with a pulmonary infarction.
Figure 3
Figure 3
Electrophysiology study. Shown are the recordings from surface electrocardiographic leads I, II, aVF, V1, and V6 and intracardiac tracings from the high right atrium (HRA), His bundle proximal (His p) and distal (His d), coronary sinus (CS) proximal (9-10) to distal (1-2), and right ventricular apex (RVA). A stimulation (STIM) channel is also shown. A: Two atrial extrastimuli (S2 and S3) delivered from the HRA at coupling intervals of 270 and 250 ms result in prolongation of the A3-H3 interval, followed by sustained supraventricular tachycardia with a septal VA interval of 18 ms. B: The tachycardia (cycle length 299 ms) is entrained by ventricular pacing at 280 ms, with 1:1 ventriculoatrial conduction. Upon cessation of ventricular pacing, a V-A-H response is observed, consistent with atrioventricular nodal reentrant tachycardia.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. D’Este D., Zoppo F., Bertaglia E., Zerbo F., Picciolo A., Scarabeo V., Pascotto A., Pascotto P. Long-term outcome of patients with atrioventricular node reentrant tachycardia. Int J Cardiol. 2007;115:350–353. - PubMed
    1. Ellis E.R., Josephson M.E. Heart failure and tachycardia-induced cardiomyopathy. Curr Heart Fail Rep. 2013;10:296–306. - PubMed
    1. Selvaraj R., Ananthakrishnapillai A., Sadasivam R., Balachander J. “Pseudo PJRT”—fast-slow AV nodal reentrant tachycardia presenting with tachycardia-induced cardiomyopathy. Pacing Clin Electrophysiol. 2013;36:e4–e6. - PubMed
    1. Selvaraj R., Arunprasath P., Karthikeyan B., George G., Balachander J. Uncommon presentation of a common tachycardia. Indian Pacing Electrophysiol J. 2010;10:426–428. - PMC - PubMed
    1. Wood K.A., Drew B.J., Scheinman M.M. Frequency of disabling symptoms in supraventricular tachycardia. Am J Cardiol. 1997;79:145–149. - PubMed

Publication types

LinkOut - more resources