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Atrioventricular reentrant tachycardia (AVRT), or atrioventricular reciprocating tachycardia, is a type of heart arrhythmia with an abnormally fast rhythm (tachychardia); it is classified as a type of supraventricular tachycardia (SVT).
If medications are not effective enough, procedures such as implanting a pacemaker, cardioverter-defibrillator (ICD), or a left ventricular assist device (LVAD), heart valve surgery, and coronary bypass surgery may be needed. [3] The last resort treatment option would be a complete heart transplant.
When pharmacologic stress or incremental atrial pacing induces high-degree atrioventricular block, a permanent pacemaker (PPM) is recommended. If EPS is negative, long-term rhythm monitoring with an implantable loop recorder (ILR) is advised.
Atrial tachycardia is a type of heart rhythm problem in which the heart's electrical impulse comes from an ectopic pacemaker (that is, an abnormally located cardiac pacemaker) in the upper chambers of the heart, rather than from the sinoatrial node, the normal origin of the heart's electrical activity.
IVCD can be caused by abnormalities in the structures of bundle of His, Purkinje fibers or ventricular myocardium. [5] [6] Nonspecific intraventricular conduction delay (NICD) is a delay with widened QRS complex but without a specific intraventricular block present. [7]
Accelerated idioventricular arrhythmias are distinguished from ventricular rhythms with rates less than 40 (ventricular escape) and those faster than 120 (ventricular tachycardia). [2] Though some other references limit to between 60 and 100 beats per minute. [3] It is also referred to as AIVR and "slow ventricular tachycardia."
[18] [20] Since its first discovery, there have been many definitions of pacemaker syndrome, and the understanding of the cause of pacemaker syndrome is still under investigation. In a general sense, pacemaker syndrome can be defined as the symptoms associated with right ventricular pacing relieved with the return of A-V and V-V synchrony. [17]
For TIC due to atrial fibrillation, rate control, rhythm control, and RF catheter ablation can be effective to control the tachyarrhythmia and improve left ventricular systolic function. [ 5 ] [ 9 ] For TIC due to atrial flutter, rate control is often difficult to achieve, and RF catheter ablation has a relatively high success rate with a low ...