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Long RP interval tachycardia. What is the mechanism?

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A 41‐year‐old man with a history of tachycardia refractory to multiple antiarrhythmic drugs was sent to our institution. His 12‐lead electrocardiogram demonstrated incessant narrow QRS complex tachycardia with negative P… Click to show full abstract

A 41‐year‐old man with a history of tachycardia refractory to multiple antiarrhythmic drugs was sent to our institution. His 12‐lead electrocardiogram demonstrated incessant narrow QRS complex tachycardia with negative P waves in the inferior leads and long RP interval. Occasionally, the tachycardia terminated after a P wave and then was restarted after a sinusal beat. An EP study was performed during tachycardia. Intracardiac electrograms during tachycardia and response to pacing maneuvers are shown. What is the tachycardia mechanism?

Keywords: long interval; interval tachycardia; tachycardia mechanism

Journal Title: Journal of Arrhythmia
Year Published: 2017

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