Atrioventricular Nodal Reentry: Evidence Supporting an Intranodal Location

MARK E. JOSEPHSON, JOHN M. MILLER

Research output: Contribution to journalArticlepeer-review

49 Scopus citations

Abstract

The exact site of the reentrant circuit in AV nodal reentry remains controversial. While recent ablative techniques have yielded information, the interpretation of which suggests that the atrium is required, other explanations for these interpretations are available. Prior pathophysiological studies with three‐dimensional reconstruction of the node suggest that it is a highly anisotropic structure and extends through Koch's Triangle. Data from humans suggesting the atria are not necessary include the presence of AV dissociation during supraventricular tachycardia (SVT), depolarization of atrial tissue surrounding the node without affecting SVT, pacing induced AH intervals exceeding those during SVT, and site dependency ofa critical AH interval (exceeding afrial refractoriness) that is required for initiation of AV nodal reentry.

Original languageEnglish (US)
Pages (from-to)599-614
Number of pages16
JournalPacing and Clinical Electrophysiology
Volume16
Issue number3
DOIs
StatePublished - Mar 1993

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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