Cardiovascular Medicine Book

AtrialFlutter

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Atrioventricular Reciprocating Tachycardia

Aka: Atrioventricular Reciprocating Tachycardia, AVRT
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  1. Definition
    1. Form of Supraventricular Tachycardia (30% of cases) with an accessory pathway (outside the AV node)
  2. Findings: General
    1. Heart Rate 160 to 240 (up to 256)
  3. Types
    1. Orthodromic (antegrade AV conduction): Up to 87% of AVRT
      1. Retrograde P Waves in I, II, III, aVF, V1
    2. Antidromic (retrograde AV conduction)
      1. RP interval <100 msec
      2. Wide QRS Complex
  4. Course
    1. May degenerate into Atrial Fibrillation
  5. References
    1. Colucci (2010) Am Fam Physician 82(8): 942-52
    2. Delacretaz (2006) N Engl J Med 354(10): 1039-51
    3. Kumar (2006) Cardiol Clin 24(3): 427-37

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