Regular tachycardia despite Wenckebach atrioventricular conduction

Stephen Fuest; Marye J. Gleva; Amit Noheria

doi:10.1016/j.jelectrocard.2017.08.034

Regular tachycardia despite Wenckebach atrioventricular conduction

Stephen Fuest, Marye J. Gleva, Amit Noheria

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

We present a 21-year-old woman status post orthotopic heart transplantation initially presenting with a regular narrow complex tachycardia at 159 beats/min. With intravenous diltiazem the rhythm transitioned to a regular tachycardia at 106 beats/min, 2/3rd of the initial heart rate. We demonstrate this to be a novel description of 3:2 second-degree Mobitz type I atrioventricular block (Wenckebach) with the absence of the hallmark regularly irregular (grouped beating) pattern.

Original language	English
Pages (from-to)	126-128
Number of pages	3
Journal	Journal of Electrocardiology
Volume	51
Issue number	1
DOIs	https://doi.org/10.1016/j.jelectrocard.2017.08.034
State	Published - Jan 2018

Keywords

Supraventricular tachycardia
Wenckebach block

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10.1016/j.jelectrocard.2017.08.034

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title = "Regular tachycardia despite Wenckebach atrioventricular conduction",

abstract = "We present a 21-year-old woman status post orthotopic heart transplantation initially presenting with a regular narrow complex tachycardia at 159 beats/min. With intravenous diltiazem the rhythm transitioned to a regular tachycardia at 106 beats/min, 2/3rd of the initial heart rate. We demonstrate this to be a novel description of 3:2 second-degree Mobitz type I atrioventricular block (Wenckebach) with the absence of the hallmark regularly irregular (grouped beating) pattern.",

keywords = "Supraventricular tachycardia, Wenckebach block",

author = "Stephen Fuest and Gleva, {Marye J.} and Amit Noheria",

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year = "2018",

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AU - Gleva, Marye J.

AU - Noheria, Amit

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N2 - We present a 21-year-old woman status post orthotopic heart transplantation initially presenting with a regular narrow complex tachycardia at 159 beats/min. With intravenous diltiazem the rhythm transitioned to a regular tachycardia at 106 beats/min, 2/3rd of the initial heart rate. We demonstrate this to be a novel description of 3:2 second-degree Mobitz type I atrioventricular block (Wenckebach) with the absence of the hallmark regularly irregular (grouped beating) pattern.

AB - We present a 21-year-old woman status post orthotopic heart transplantation initially presenting with a regular narrow complex tachycardia at 159 beats/min. With intravenous diltiazem the rhythm transitioned to a regular tachycardia at 106 beats/min, 2/3rd of the initial heart rate. We demonstrate this to be a novel description of 3:2 second-degree Mobitz type I atrioventricular block (Wenckebach) with the absence of the hallmark regularly irregular (grouped beating) pattern.

KW - Supraventricular tachycardia

KW - Wenckebach block

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JO - Journal of Electrocardiology

JF - Journal of Electrocardiology

IS - 1

ER -

Regular tachycardia despite Wenckebach atrioventricular conduction

Abstract

Keywords

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