Antidromic Nodoventricular Reciprocating Tachycardia With Left-Ventricular Insertion: Insights From High-Density
Cheng-Han Chan1,2,3, Chin-Yu Lin1,2,3
1Heart Rhythm Center and Cardiovascular Center, Taipei Veterans General Hospital, Taipei, Taiwan.
Pacing and Clinical Electrophysiology : PACE
|December 31, 2025
Summary
A rare case of nodoventricular reentrant tachycardia (NVRT) with left ventricular insertion coexisting with typical atrioventricular nodal reentrant tachycardia (AVNRT) was identified. Radiofrequency ablation successfully treated both arrhythmias, emphasizing accurate diagnosis in complex tachycardia cases.
Area of Science:
- Cardiology
- Electrophysiology
- Cardiac Arrhythmias
Background:
- Paroxysmal supraventricular tachycardia (PSVT) is a common arrhythmia.
- Atrioventricular nodal reentrant tachycardia (AVNRT) and nodoventricular reentrant tachycardia (NVRT) are distinct reentrant circuits within the cardiac conduction system.
- Differentiating between various supraventricular tachycardias, especially those with wide QRS complexes, can be challenging.
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