Skip to main content
Log in

Atrioventricular Nodal Reentrant Tachycardia with Advanced Infra-Hisian Atrioventricular Block

  • Case Report
  • Published:
Journal of Interventional Cardiac Electrophysiology Aims and scope Submit manuscript

Abstract

We report a case of 78-year-old man admitted to the hospital due to palpitations and lightheadedness. On EKG advanced atrioventricular block with ventricular rate of 37 beats per minute was noted. On electrophysiology study a common type of atrioventricular nodal reentrant tachycardia was inducible with maintenance of advanced AV block. Radiofrequency ablation of slow pathway followed by placement of a permanent pacemaker resulted in elimination of tachycardia and resolution of symptoms.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Wellens HJ, Wesdorp JC, Duren DR, Lie KI. Second degree AV block during reciprocating atrioventricular nodal tachycardia. Circulation 1976;54:595–599.

    Google Scholar 

  2. Lee SH, Chen SA, Tai CT, Chiang CE, Wen ZC, Ueng KC, Chiou CW, Chen YJ, Yu WC, Huang JL, Cheng JJ, Chang MS. Electrophysiologic characteristics and radiofrequency catheter ablation in atrioventricular node reentrant tachycardia with second-degree atrioventricular block. J Cardiovasc Electrophysiol 1997;8:502–511.

    CAS  PubMed  Google Scholar 

  3. Vora AM, Green MS, Tang ASL. Atrioventricular nodal reentrant tachycardia with atrioventricular block. J Intervent Card Electrophysiol 1997;1:1287–289.

    Google Scholar 

  4. Kantharia BK and Mittleman RS. Case Report: Anterograde 2:1 and retrograde 3:2 Wenckebach block during atrioventricular nodal tachycardia: Controversies of the upper and lower common pathways. J Intevent Card Electrophysiol 2000;4:605–610.

    Article  CAS  Google Scholar 

  5. Man CK, Brinkman K, Bogun F. 2:1 Atrioventricular block during atrioventricular node reentrant tachycardia. J Am Coll Card 1996;28:1770–1774.

    Article  CAS  Google Scholar 

  6. Abe H, Ohkita T, Fujita M, Nakashima Y, Kuroiwa A. Atrioventricular nodal reentry associated with 2:1 infra-Hisian conduction block during tachycardia in a patient with AV nodal triple pathways. Jpn Heart J 1994;35:241– 248.

    CAS  PubMed  Google Scholar 

  7. Kerr CR, Murdock CJ, Yeung LW. Atrioventricular nodal reentrant tachycardia in patients with ventriculo-atrial conduction block. Can J Cardiol 10(2):255–258.

  8. Miles WM, Hubbard JE, Zipes DP, Klein LS. Elimination of AV nodal reentrant tachycardia with 2:1 VA block by posteroseptal ablation. J. Cardiovasc Electrophysiol 1994;5:510–516.

    CAS  PubMed  Google Scholar 

  9. Dimarco JP, Sellers TD, Belardinelli L. Paroxysmal supraventricular tachycardia with Wenckebach block. Evidence for reentry within the upper portion of AV Node. J Am Coll Cardiol 1984;3:1551–1555.

    CAS  PubMed  Google Scholar 

  10. Schmitt C, Miller JM, Josephson ME. Atrioventricular nodal supraventricular tachycardia with 2:1 block above the bundle of His. PACE 1988;11:1018–1023.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Abdul Wase MD, FACC, FACP.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Wase, A., Shah, S., Siraj, Y. et al. Atrioventricular Nodal Reentrant Tachycardia with Advanced Infra-Hisian Atrioventricular Block. J Interv Card Electrophysiol 12, 227–230 (2005). https://doi.org/10.1007/s10840-005-0309-y

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10840-005-0309-y

Keywords

Navigation