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Atrioventricular nodal reentrant tachycardia with advanced infra-hisian atrioventricular block
Abdul Wase1, Shalin Shah, Yaser Siraj
1Electrophysiology Laboratory, Good Samaritan Hospital and Section of Cardiovascular Medicine, Wright State University School of Medicine, Dayton, Ohio, USA. abdul.wase@wright.edu
Abstract:
We report a case of 78-year-old man admitted to the hospital due to palpitations and lightheadedness. On EKG advanced atrioventricular block with ventricular rate of 37 beats per minute was noted. On electrophysiology study a common type of atrioventricular nodal reentrant tachycardia was inducible with maintenance of advanced AV block. Radiofrequency ablation of slow pathway followed by placement of a permanent pacemaker resulted in elimination of tachycardia and resolution of symptoms.
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