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Atrioventricular Nodal Reentry Tachycardia by ECG Finding

MedGen UID:
854505
•Concept ID:
C3887663
•
Finding
Synonyms: Atrioventricular Nodal Reentrant Tachycardia; Atrioventricular Nodal Reentry Tachycardia; Atrioventricular Nodal Reentry Tachycardia by EKG Finding

Definition

An electrocardiographic finding of a regular supraventricular tachycardia due to reentry within the AV node. It is characterized by P waves which typically occur nearly simultaneously with the QRS complex, resulting in a P wave which is obscured by the QRS, merged with the QRS or which may follow the QRS. (CDISC) [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVAtrioventricular Nodal Reentry Tachycardia by ECG Finding

Professional guidelines

PubMed

2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society.
Page RL, Joglar JA, Caldwell MA, Calkins H, Conti JB, Deal BJ, Estes NAM 3rd, Field ME, Goldberger ZD, Hammill SC, Indik JH, Lindsay BD, Olshansky B, Russo AM, Shen WK, Tracy CM, Al-Khatib SM
J Am Coll Cardiol 2016 Apr 5;67(13):e27-e115. Epub 2015 Sep 24 doi: 10.1016/j.jacc.2015.08.856. PMID: 26409259
2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society.
Page RL, Joglar JA, Caldwell MA, Calkins H, Conti JB, Deal BJ, Estes NA 3rd, Field ME, Goldberger ZD, Hammill SC, Indik JH, Lindsay BD, Olshansky B, Russo AM, Shen WK, Tracy CM, Al-Khatib SM; Evidence Review Committee Chair‡
Circulation 2016 Apr 5;133(14):e506-74. Epub 2015 Sep 23 doi: 10.1161/CIR.0000000000000311. PMID: 26399663
2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society.
Page RL, Joglar JA, Caldwell MA, Calkins H, Conti JB, Deal BJ, Estes NA 3rd, Field ME, Goldberger ZD, Hammill SC, Indik JH, Lindsay BD, Olshansky B, Russo AM, Shen WK, Tracy CM, Al-Khatib SM; Evidence Review Committee Chair‡
Circulation 2016 Apr 5;133(14):e471-505. Epub 2015 Sep 23 doi: 10.1161/CIR.0000000000000310. PMID: 26399662

Recent clinical studies

Etiology

Dual atrioventricular nodal non-reentrant tachycardia: Various atrioventricular conduction responses to atrioventricular simultaneous pacing.
Adachi T, Asakawa T, Yamauchi Y, Naito S, Yoshida K, Nakagawa K, Nakamura K, Yamasaki H, Sekiguchi Y, Nogami A, Suzuki F, Ieda M, Aonuma K
Heart Rhythm 2022 Nov;19(11):1841-1855. Epub 2022 Jul 8 doi: 10.1016/j.hrthm.2022.07.002. PMID: 35817252
ST-segment depression in atrioventricular nodal reentrant tachycardia: Preliminary results.
Mercik JS, Radziejewska J, Pach K, Zyśko D, Gajek J
Adv Clin Exp Med 2021 Dec;30(12):1323-1328. doi: 10.17219/acem/144161. PMID: 34898057
Efficacy of cryo-ablation during atrioventricular nodal reentrant tachycardia.
Hoshiyama T, Ashikaga K, Tsujita K, Shibata Y
Heart Vessels 2021 Apr;36(4):541-548. Epub 2020 Oct 28 doi: 10.1007/s00380-020-01717-7. PMID: 33113566
A contemporary view of atrioventricular nodal physiology.
Markowitz SM, Lerman BB
J Interv Card Electrophysiol 2018 Aug;52(3):271-279. Epub 2018 Jun 16 doi: 10.1007/s10840-018-0392-5. PMID: 29909540
Differentiating junctional tachycardia and atrioventricular node re-entry tachycardia based on response to atrial extrastimulus pacing.
Padanilam BJ, Manfredi JA, Steinberg LA, Olson JA, Fogel RI, Prystowsky EN
J Am Coll Cardiol 2008 Nov 18;52(21):1711-7. doi: 10.1016/j.jacc.2008.08.030. PMID: 19007691

Diagnosis

Anatomy for ablation of atrioventricular nodal reentry tachycardia and accessory pathways.
Jansen H, Nürnberg JH, Veltmann C, Hebe J
Herzschrittmacherther Elektrophysiol 2022 Jun;33(2):133-147. Epub 2022 May 24 doi: 10.1007/s00399-022-00860-0. PMID: 35608665
Atrioventricular Nodal Conduction Disease.
Bagliani G, Leonelli FM, De Ponti R, Mesolella E, Padeletti L
Card Electrophysiol Clin 2018 Jun;10(2):197-209. doi: 10.1016/j.ccep.2018.02.014. PMID: 29784480
Atrioventricular Reentrant Tachycardia.
Marzlin KM, Webner C
AACN Adv Crit Care 2017 Summer;28(2):223-228. doi: 10.4037/aacnacc2017151. PMID: 28592483
Atrioventricular Nodal Non Re-Entrant Tachycardia (AVNNT).
Sugumar H, Tung M, Leather R, Lane C, Sterns LD, Novak PG
Heart Lung Circ 2017 May;26(5):524-525. Epub 2016 Aug 30 doi: 10.1016/j.hlc.2016.07.014. PMID: 27769757
Atrioventricular nodal reentrant tachycardia.
Katritsis DG, Camm AJ
Circulation 2010 Aug 24;122(8):831-40. doi: 10.1161/CIRCULATIONAHA.110.936591. PMID: 20733110

Therapy

Anatomy for ablation of atrioventricular nodal reentry tachycardia and accessory pathways.
Jansen H, Nürnberg JH, Veltmann C, Hebe J
Herzschrittmacherther Elektrophysiol 2022 Jun;33(2):133-147. Epub 2022 May 24 doi: 10.1007/s00399-022-00860-0. PMID: 35608665
Alternative Treatment Options for Atrioventricular-Nodal-Reentry Tachycardia: An Emergency Medicine Review.
Brubaker S, Long B, Koyfman A
J Emerg Med 2018 Feb;54(2):198-206. Epub 2017 Nov 26 doi: 10.1016/j.jemermed.2017.10.003. PMID: 29239759
2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society.
Page RL, Joglar JA, Caldwell MA, Calkins H, Conti JB, Deal BJ, Estes NA 3rd, Field ME, Goldberger ZD, Hammill SC, Indik JH, Lindsay BD, Olshansky B, Russo AM, Shen WK, Tracy CM, Al-Khatib SM; Evidence Review Committee Chair‡
Circulation 2016 Apr 5;133(14):e506-74. Epub 2015 Sep 23 doi: 10.1161/CIR.0000000000000311. PMID: 26399663
2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society.
Page RL, Joglar JA, Caldwell MA, Calkins H, Conti JB, Deal BJ, Estes NA 3rd, Field ME, Goldberger ZD, Hammill SC, Indik JH, Lindsay BD, Olshansky B, Russo AM, Shen WK, Tracy CM, Al-Khatib SM; Evidence Review Committee Chair‡
Circulation 2016 Apr 5;133(14):e471-505. Epub 2015 Sep 23 doi: 10.1161/CIR.0000000000000310. PMID: 26399662
Paroxysmal supraventricular tachycardias.
Lowenstein SR, Halperin BD, Reiter MJ
J Emerg Med 1996 Jan-Feb;14(1):39-51. doi: 10.1016/0736-4679(95)02061-6. PMID: 8655936

Prognosis

Efficacy of cryo-ablation during atrioventricular nodal reentrant tachycardia.
Hoshiyama T, Ashikaga K, Tsujita K, Shibata Y
Heart Vessels 2021 Apr;36(4):541-548. Epub 2020 Oct 28 doi: 10.1007/s00380-020-01717-7. PMID: 33113566
A contemporary view of atrioventricular nodal physiology.
Markowitz SM, Lerman BB
J Interv Card Electrophysiol 2018 Aug;52(3):271-279. Epub 2018 Jun 16 doi: 10.1007/s10840-018-0392-5. PMID: 29909540
Dual atrioventricular nodal non-re-entrant tachycardia.
Peiker C, Pott C, Eckardt L, Kelm M, Shin DI, Willems S, Meyer C
Europace 2016 Mar;18(3):332-9. Epub 2015 Apr 16 doi: 10.1093/europace/euv056. PMID: 25888570
Differentiating junctional tachycardia and atrioventricular node re-entry tachycardia based on response to atrial extrastimulus pacing.
Padanilam BJ, Manfredi JA, Steinberg LA, Olson JA, Fogel RI, Prystowsky EN
J Am Coll Cardiol 2008 Nov 18;52(21):1711-7. doi: 10.1016/j.jacc.2008.08.030. PMID: 19007691
History of arrhythmias.
Janse MJ, Rosen MR
Handb Exp Pharmacol 2006;(171):1-39. doi: 10.1007/3-540-29715-4_1. PMID: 16610339

Clinical prediction guides

ST-segment depression in atrioventricular nodal reentrant tachycardia: Important finding or just an artifact?
Mercik J, Radziejewska J, Pach K, Zawadzki G, Zyśko D, Gajek J
Medicine (Baltimore) 2022 Dec 9;101(49):e31806. doi: 10.1097/MD.0000000000031806. PMID: 36626431Free PMC Article
ST-segment depression in atrioventricular nodal reentrant tachycardia: Preliminary results.
Mercik JS, Radziejewska J, Pach K, Zyśko D, Gajek J
Adv Clin Exp Med 2021 Dec;30(12):1323-1328. doi: 10.17219/acem/144161. PMID: 34898057
Atrio-ventricular junction: Can precision electrocardiology bridge cell and electrocardiogram?
Leonelli F, De Ponti R, Bagliani G
J Electrocardiol 2020 May-Jun;60:82-91. Epub 2020 Feb 26 doi: 10.1016/j.jelectrocard.2020.02.012. PMID: 32335413
Advanced Concepts of Atrioventricular Nodal Electrophysiology: Observations on the Mechanisms of Atrioventricular Nodal Reciprocating Tachycardias.
Bagliani G, Leonelli FM, De Ponti R, Padeletti L
Card Electrophysiol Clin 2018 Jun;10(2):277-297. doi: 10.1016/j.ccep.2018.02.004. PMID: 29784484
Dual atrioventricular nodal non-re-entrant tachycardia.
Peiker C, Pott C, Eckardt L, Kelm M, Shin DI, Willems S, Meyer C
Europace 2016 Mar;18(3):332-9. Epub 2015 Apr 16 doi: 10.1093/europace/euv056. PMID: 25888570

Recent systematic reviews

Therapy Of Cardiac Arrhythmias In Children: An Emerging Role Of Electroanatomical Mapping Systems.
Casale M, Mezzetti M, Tulino V, Scarano M, Busacca P, Dattilo G
Curr Vasc Pharmacol 2018;16(6):528-533. doi: 10.2174/1570161115666170705155542. PMID: 28677509
Chronic Arrhythmias in the Setting of Heterotaxy: Differences between Right and Left Isomerism.
Loomba RS, Willes RJ, Kovach JR, Anderson RH
Congenit Heart Dis 2016 Jan-Feb;11(1):7-18. Epub 2015 Jul 29 doi: 10.1111/chd.12288. PMID: 26219620
Cryoablation versus RF ablation for AVNRT: A meta-analysis and systematic review.
Hanninen M, Yeung-Lai-Wah N, Massel D, Gula LJ, Skanes AC, Yee R, Klein GJ, Manlucu J, Leong-Sit P
J Cardiovasc Electrophysiol 2013 Dec;24(12):1354-60. Epub 2013 Sep 9 doi: 10.1111/jce.12247. PMID: 24016223
Effect of female sex on cardiac arrhythmias.
Gowd BM, Thompson PD
Cardiol Rev 2012 Nov-Dec;20(6):297-303. doi: 10.1097/CRD.0b013e318259294b. PMID: 22531673

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