Two unusual cases of coincident atrioventricular nodal reentrant tachycardia and ventricular tachycardia.

Nicola Bottoni, Paolo Donateo, Fabio Quartieri, Michele Brignole, Carlo Menozzi
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Abstract

The simultaneous occurrence of narrow and wide QRS complex tachycardias was observed in 2 patients evaluated at our electrophysiological centers. Electrophysiological testing revealed the coexistence of two types of arrhythmia (atrioventricular nodal reentrant tachycardia and verapamil-sensitive left ventricular tachycardia) in one patient and of three types of arrhythmia (atrioventricular nodal reentrant tachycardia, ventricular tachycardia originating from the right ventricular outflow tract, and left ventricular tachycardia) in the other. Both patients underwent successful radiofrequency ablation of all the types of tachycardia.

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房室结折返性心动过速合并室性心动过速2例。
在我们电生理中心评估的2例患者中观察到窄宽QRS复合心动过速同时发生。电生理检测显示一名患者同时存在两种类型的心律失常(房室结折返性心动过速和维拉帕米敏感性左室心动过速),另一名患者同时存在三种类型的心律失常(房室结折返性心动过速、起源于右心室流出道的室性心动过速和左室心动过速)。两例患者均成功接受了所有类型的心动过速的射频消融治疗。
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