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Chest, Vol 80, 106-108, Copyright © 1981 by American College of Chest Physicians


ARTICLES

Chronic nonparoxysmal junctional tachycardia

EV Palileo, RA Bauernfeind, SP Swiryn, CR Wyndham and KM Rosen

We describe an adult with chronic (three years' duration) acquired nonparoxysmal junctional tachycardia, a previously undescribed rhythm. Ambulatory monitoring revealed junctional rates ranging from 75 to 110 beats/min. Electrophysiologic studies demonstrated intact atrioventricular and ventriculoatrial conduction with a normal H-V interval (43 msec) and narrow QRS. Underlying sinus node function appeared to be normal (recovery time of 900 msec). Junctional rate increased with administration of atropine and isoproterenol, suggesting that the junctional pacemaker was located in the proximal His bundle. Electrocardiographic and electrophysiologic observations suggested that this case of chronic nonparoxysmal junctional tachycardia was benign, not necessitating therapy.


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EuropaceHome page
D. G Katritsis and A. J. Camm
Classification and differential diagnosis of atrioventricular nodal re-entrant tachycardia.
Europace, January 1, 2006; 8(1): 29 - 36.
[Abstract] [Full Text] [PDF]




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