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Long RP interval tachycardia. What is the mechanism?
Javier Jiménez-Díaz1, María-Arantzazu González-Marín1, Juan J González-Ferrer2
1Unidad de Arritmias, Servicio de Cardiología, Hospital General de Ciudad Real, Ciudad Real, España.
Abstract:
A 41-year-old man with a history of tachycardia refractory to multiple antiarrhythmic drugs was sent to our institution. His 12-lead electrocardiogram demonstrated incessant narrow QRS complex tachycardia with negative P waves in the inferior leads and long RP interval. Occasionally, the tachycardia terminated after a P wave and then was restarted after a sinusal beat. An EP study was performed during tachycardia. Intracardiac electrograms during tachycardia and response to pacing maneuvers are shown. What is the tachycardia mechanism?
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