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European Heart Journal 1982 3(2):146-154;
Copyright © 1982 by the European Society of Cardiology.
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© 1982 by The European Society of Cardiology

Double ventricular response in dual AV nodal pathways mimicking supraventricular as well as ventricular tachycardia

H. NEUSS, J. BUSS, M. SCHLEPPER and V. MITROVIC

Kerckhoff-Clinic Bad Nauheim, West Germany

Received 13 February 1981; revised 6 June 1981; .

Requests for reprints to: PD Dr H. Neuss, Kerckhoff-Klinik, Benekestrasse 6–8, 6350 Bad Nauheim, West Germany.

Abstract

Supraventricular tachycardias confined to the AV junction are usually thought to be due to reentry using a slow and a fast conducting pathway. In the case presented, a marked difference of conduction velocity in dual AV nodal pathways and retrograde block in the slow conducting pathway caused a ventricular double response to a single atrial depolarization. At a critical heart rate this phenomenon occurred in a bigeminal fashion, mimicking supraventricular as well as ventricular tachycardia.

Key Words: Dual AV nodal pathways • double ventricular response tachycardia • concealed conduction


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