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Tuncez A, Merovci I, Efe TH, Kara M, Deveci B, Cetin EHO, Korkmaz A, Ozeke O, Cay S, Ozcan F, Aras D, Topaloglu S. Transition from Two Wide to A Narrow QRS Complex Tachycardia: What is the mechanism of tachycardia and transition? J Cardiovasc Electrophysiol 2022; 33:1316-1319. [PMID: 35362173 DOI: 10.1111/jce.15479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Revised: 03/28/2022] [Accepted: 03/30/2022] [Indexed: 10/18/2022]
Abstract
Spontaneous transition from one tachycardia to another tachycardia poses a challenge to the electrophysiologists and most likely occurs by multiple mechanisms. This article is protected by copyright. All rights reserved.
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Affiliation(s)
| | - Idriz Merovci
- University Clinical Center of Kosovo, Department of Cardiology, Prishtina, Kosovo, Turkey
| | - Tolga Han Efe
- University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Department of Cardiology, Ankara, Turkey
| | - Meryem Kara
- University of Health Sciences, Ankara City Hospital, Department of Cardiology, Ankara, Turkey
| | - Bulent Deveci
- University of Health Sciences, Ankara City Hospital, Department of Cardiology, Ankara, Turkey
| | - Elif Hande Ozcan Cetin
- University of Health Sciences, Ankara City Hospital, Department of Cardiology, Ankara, Turkey
| | - Ahmet Korkmaz
- University of Health Sciences, Ankara City Hospital, Department of Cardiology, Ankara, Turkey
| | - Ozcan Ozeke
- University of Health Sciences, Ankara City Hospital, Department of Cardiology, Ankara, Turkey
| | - Serkan Cay
- University of Health Sciences, Ankara City Hospital, Department of Cardiology, Ankara, Turkey
| | - Firat Ozcan
- University of Health Sciences, Ankara City Hospital, Department of Cardiology, Ankara, Turkey
| | - Dursun Aras
- İstanbul Medipol University, Department of Cardiology, İstanbul, Turkey
| | - Serkan Topaloglu
- University of Health Sciences, Ankara City Hospital, Department of Cardiology, Ankara, Turkey
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Turan T, Hidayet Ş, Tunçez A, Sertdemir AL, Deveci B, Celik IE, Kara M, Korkmaz A, Ozeke O, Cay S, Ozcan F, Aras D, Topaloglu S. An interesting response to His-synchronous ventricular stimulation: What is the mechanism of this supraventricular tachycardia?". J Cardiovasc Electrophysiol 2022; 33:1051-1054. [PMID: 35304936 DOI: 10.1111/jce.15450] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/20/2022] [Revised: 03/02/2022] [Accepted: 03/07/2022] [Indexed: 11/28/2022]
Abstract
Inappropriate therapies are frequent in patients with ICDs and are associated with adverse outcomes, including increased mortality. Atrioventricular nodal reentrant tachycardia (AVNRT) is the most common reentrant narrow complex tachycardia and a cause of inappropriate therapies in these patients. The differential diagnosis of narrow QRS complex tachycardia with ventriculoatrial (VA) dissociation or variable block to the atrium is a pivotal role to avoid inappropriate ICD implantation or then shock therapies. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- Turhan Turan
- Health Sciences University, Ahi Evren Thoracic and Cardiovascular Surgery Training and Research Hospital, Trabzon, Turkey
| | - Şiho Hidayet
- Inonu University, Department of Cardiology, Malatya, Turkey
| | | | - Ahmet Lutfu Sertdemir
- Necmettin Erbakan University Meram Medical Faculty, Department of Cardiology, Konya, Turkey
| | - Bulent Deveci
- Health Sciences University, Ankara City Hospital, Department of Cardiology, Ankara, Turkey
| | - Ibrahim Etem Celik
- Health Sciences University, Ankara Education and Research Hospital, Department of Cardiology; Ankara, Turkey
| | - Meryem Kara
- Health Sciences University, Ankara City Hospital, Department of Cardiology, Ankara, Turkey
| | - Ahmet Korkmaz
- Health Sciences University, Ankara City Hospital, Department of Cardiology, Ankara, Turkey
| | - Ozcan Ozeke
- Health Sciences University, Ankara City Hospital, Department of Cardiology, Ankara, Turkey
| | - Serkan Cay
- Health Sciences University, Ankara City Hospital, Department of Cardiology, Ankara, Turkey
| | - Firat Ozcan
- Health Sciences University, Ankara City Hospital, Department of Cardiology, Ankara, Turkey
| | - Dursun Aras
- İstanbul Medipol University, Department of Cardiology, İstanbul, Turkey
| | - Serkan Topaloglu
- Health Sciences University, Ankara City Hospital, Department of Cardiology, Ankara, Turkey
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Korkmaz A, Kara M, Ozeke O, Cay S, Ozcan F, Topaloglu S, Aras D. Termination, Advancement, and Delaying Responses to His Synchronous Premature Ventricular Contractions During Narrow QRS Tachycardia: What Are the Possible Mechanisms? J Innov Card Rhythm Manag 2021; 12:4376-4380. [PMID: 33520354 PMCID: PMC7834043 DOI: 10.19102/icrm.2021.120108] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2020] [Accepted: 09/22/2020] [Indexed: 12/13/2022] Open
Abstract
The differential diagnosis of a regular, narrow QRS, long-R-P tachycardia includes atypical atrioventricular nodal reentry tachycardia, atrial tachycardia, and atrioventricular reentry tachycardia via a slowly conducting accessory pathway with decremental conduction properties. Almost all described diagnostic maneuvers in the electrophysiology laboratory have exceptions to their primary interpretation. The usual proviso is that the observation must be reproducible.
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Affiliation(s)
- Ahmet Korkmaz
- Department of Cardiology, Ankara City Hospital, University of Health Sciences, Ankara, Turkey
| | - Meryem Kara
- Department of Cardiology, Ankara City Hospital, University of Health Sciences, Ankara, Turkey
| | - Ozcan Ozeke
- Department of Cardiology, Ankara City Hospital, University of Health Sciences, Ankara, Turkey
| | - Serkan Cay
- Department of Cardiology, Ankara City Hospital, University of Health Sciences, Ankara, Turkey
| | - Firat Ozcan
- Department of Cardiology, Ankara City Hospital, University of Health Sciences, Ankara, Turkey
| | - Serkan Topaloglu
- Department of Cardiology, Ankara City Hospital, University of Health Sciences, Ankara, Turkey
| | - Dursun Aras
- Department of Cardiology, Ankara City Hospital, University of Health Sciences, Ankara, Turkey
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Korkmaz A, Kara M, Deveci B, Sertdemir AL, Ozeke O, Cay S, Ozcan F, Topaloglu S, Aras D. Change in the atrial activation timing and sequence during narrow QRS tachycardia: What is the mechanism? J Cardiovasc Electrophysiol 2020; 32:148-150. [PMID: 33205575 DOI: 10.1111/jce.14813] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/26/2020] [Revised: 11/03/2020] [Accepted: 11/09/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Ahmet Korkmaz
- Department of Cardiology, University of Health Sciences, Ankara City Hospital, Ankara, Turkey
| | - Meryem Kara
- Department of Cardiology, University of Health Sciences, Ankara City Hospital, Ankara, Turkey
| | - Bulent Deveci
- Department of Cardiology, University of Health Sciences, Ankara City Hospital, Ankara, Turkey
| | - Ahmet L Sertdemir
- Department of Cardiology, University of Health Sciences, Ankara City Hospital, Ankara, Turkey.,Department of Cardiology, Meram Medical Faculty, Necmettin Erbakan University, Konya, Turkey
| | - Ozcan Ozeke
- Department of Cardiology, University of Health Sciences, Ankara City Hospital, Ankara, Turkey
| | - Serkan Cay
- Department of Cardiology, University of Health Sciences, Ankara City Hospital, Ankara, Turkey
| | - Firat Ozcan
- Department of Cardiology, University of Health Sciences, Ankara City Hospital, Ankara, Turkey
| | - Serkan Topaloglu
- Department of Cardiology, University of Health Sciences, Ankara City Hospital, Ankara, Turkey
| | - Dursun Aras
- Department of Cardiology, University of Health Sciences, Ankara City Hospital, Ankara, Turkey
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Kara M, Korkmaz A, Ozeke O, Cay S, Ozcan F, Topaloglu S, Aras D. Manifest 1:2 tachycardia or atrioventricular nodal reentrant tachycardia with complete ventriculoatrial dissociation. J Cardiovasc Electrophysiol 2020; 31:1563-1564. [PMID: 32255532 DOI: 10.1111/jce.14465] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/25/2020] [Accepted: 03/25/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Meryem Kara
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey
| | - Ahmet Korkmaz
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey
| | - Ozcan Ozeke
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey
| | - Serkan Cay
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey
| | - Firat Ozcan
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey
| | - Serkan Topaloglu
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey
| | - Dursun Aras
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey
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Kara M, Korkmaz A, Karimli E, Rencuzogullari I, Demir M, Ozbek M, Ozeke O, Cay S, Ozcan F, Aras D, Topaloglu S. Unusual response to His-refractory atrial premature complex: What is the mechanism? J Cardiovasc Electrophysiol 2020; 31:1232-1234. [PMID: 32239629 DOI: 10.1111/jce.14458] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/17/2020] [Accepted: 03/23/2020] [Indexed: 12/30/2022]
Abstract
A 32-year-old woman underwent radiofrequency catheter ablation of narrow QRS tachycardia that was terminated with intravenous adenosine.
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Affiliation(s)
- Meryem Kara
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey
| | - Ahmet Korkmaz
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey
| | - Emin Karimli
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey
| | | | - Muhammed Demir
- Department of Cardiology, Ankara City Hospital, Dicle University, Diyarbakır, Turkey
| | - Mehmet Ozbek
- Department of Cardiology, Ankara City Hospital, Dicle University, Diyarbakır, Turkey
| | - Ozcan Ozeke
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey
| | - Serkan Cay
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey
| | - Firat Ozcan
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey
| | - Dursun Aras
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey
| | - Serkan Topaloglu
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey
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Karimli E, Kara M, Korkmaz A, Cay S, Ozeke O, Ozcan F, Topaloglu S, Aras D. Dual 1:2 tachycardia: What is the mechanism? J Cardiovasc Electrophysiol 2020; 31:733-735. [PMID: 31930588 DOI: 10.1111/jce.14348] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/27/2019] [Revised: 01/06/2020] [Accepted: 01/07/2020] [Indexed: 11/29/2022]
Affiliation(s)
- Emin Karimli
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey
| | - Meryem Kara
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey
| | - Ahmet Korkmaz
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey
| | - Serkan Cay
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey
| | - Ozcan Ozeke
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey
| | - Firat Ozcan
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey
| | - Serkan Topaloglu
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey
| | - Dursun Aras
- Department of Cardiology, Ankara City Hospital, Health Sciences University, Ankara, Turkey
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