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

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...

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Bibliographic Details
Published in:Journal of cardiovascular electrophysiology 2019-07, Vol.30 (7), p.1150-1151
Main Authors: Mohanan Nair, Krishna Kumar, Namboodiri, Narayanan, Abhilash, Sreevilasam Pushpangadhan, Prabhu, Mukund, Das, Debashish, Valaparambil, Ajitkumar
Format: Article
Language:English
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Summary: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.
ISSN:1045-3873
1540-8167
DOI:10.1111/jce.13931