Dual Atrioventricular Nodal Non-Re-Entrant Tachycardia
David M Harmon1, Robert C Ward1, Abhishek J Deshmukh1
1Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Abstract:
A patient presented with symptoms of palpitations. Her standard 12-lead electrocardiogram captured 3 potential causes of her symptoms (premature atrial contractions, junctional rhythm, and narrow complex tachycardia). Further workup uncovered dual atrioventricular node physiology with 1:2 sinus conduction and resultant alternating QRS from a slow and fast conduction pathway. (Level of Difficulty: Intermediate.).
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