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Classical response of antidromic atriofascicular tachycardia to premature atrial extrastimulus delivered during septal refractoriness

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A 23‐year‐old gentleman presented with a history of palpitations. The 12‐lead electrocardiogram showed no manifest ventricular pre‐excitation. Echocardiogram was within normal limits. A retrograde study showed concentric activation of the… Click to show full abstract

A 23‐year‐old gentleman presented with a history of palpitations. The 12‐lead electrocardiogram showed no manifest ventricular pre‐excitation. Echocardiogram was within normal limits. A retrograde study showed concentric activation of the atrium with decremental conduction. Atrial pacing from right atrial free wall showed progressive pre‐excitation. No anterograde nodal duality was documented.

Keywords: atriofascicular tachycardia; premature atrial; tachycardia premature; response antidromic; classical response; antidromic atriofascicular

Journal Title: Journal of Cardiovascular Electrophysiology
Year Published: 2019

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