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논문KCI 등재후보

Atrioventricular Nodal Reentrant Tachycardia (AVNRT)

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초록

Atrioventricular nodal reentrant tachycardia is the most common type of supraventricular tachycardia. The initiation and maintenance of tachycardia is caused by the characteristic anatomic and electrophysiologic properties of the atrioverntricular node. Acute management for the termination of tachycardia includes pharmacologic and non-pharmacologic management. There are several options for preventing recurrence of tachycardia, and radiofrequency ablation for modulation of tachycardia circuit can be considered as a primary strategy. A thorough understanding of the unique electrophysiologic features is very essential for optimal management and best possible outcome in cases of invasive management.

Abstract

Atrioventricular nodal reentrant tachycardia is the most common type of supraventricular tachycardia. The initiation and maintenance of tachycardia is caused by the characteristic anatomic and electrophysiologic properties of the atrioverntricular node. Acute management for the termination of tachycardia includes pharmacologic and non-pharmacologic management. There are several options for preventing recurrence of tachycardia, and radiofrequency ablation for modulation of tachycardia circuit can be considered as a primary strategy. A thorough understanding of the unique electrophysiologic features is very essential for optimal management and best possible outcome in cases of invasive management.

참고문헌 (4)

  1. Hucker WJ, "Connexin 43 expression delineates two discrete pathways in the atrioventricular junction", Anat Rec(Hoboken), 291, pp.204~215 (2008)
  2. Page RL, "2015 ACC", AHA, American Heart Association task force on clinical practice guidelines and the Heart Rhythm Society, pp.Circulation, 2016[DOI]
  3. Hindricks G, "Incidence of complete atrioventricular block following attempted radiofrequency catheter modification of the atrioventricular node in 880 patients. Results of the Multicenter European Radiofrequency Survey (MERFS) The Working Group on Arrhythmias of the European Society of Cardiology", Eur Heart J, 17, pp.82~88 (1996)
  4. Kuo CT, "Atrioventricular nodal reentry tachycardia withmultiple AH jumps:Electrophysiological characteristics and radiofrequency ablation", Pacing Clin Electrophysiol, 26, pp.1849~1855 (2003)

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