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Permanent junctional reciprocating tachycardia

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Alexandre Meiltz, Reinold Weber, Franck Halimi, Pascal Defaye, Serge Boveda, René Tavernier, Dietrich Kalusche, Marc Zimmermann, Permanent form of junctional reciprocating tachycardia in adults: peculiar features and results of radiofrequency catheter ablation, EP Europace, Volume 8, Issue 1, January
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and only diagnosed at a late stage, after significant damage to the heart has been caused from prolonged and recurrent episodes of AVRT. While PJRT generally presents itself in infants, and often immediately after birth, few adults can suffer from a sudden onset of PJRT in which the degrading
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In-between episodes there is normal electrical conduction in the heart. During an episode of AVRT caused by PJRT, the accessory pathway conducts electrical activity from the ventricles directly back to the atria at the end of
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Without treatment, the prevalence of tachycardia-induced cardiomyopathy has been reported to be between 20% and 50%, however most patients who undergo ablation have significant improvement in their cardiac function
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Bensler, James Michael et al. “Tachycardia-mediated cardiomyopathy and the permanent form of junctional reciprocating tachycardia.” Texas Heart Institute journal vol. 37,6 (2010): 695-8.
941: 159:(inverted) p-waves in the inferior leads II, III, aVF, and V4–V6 with a long RP′ interval. The P:QRS ratio would be 1:1 and they would be narrow complexes. 582: 272: 221: 999: 316: 114:
during exercise or stress may be the presenting symptom. Because the initial symptoms are often mild, there may be significant
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damage at the time of diagnosis. It is therefore possible for these patients to present with the symptoms of
1257: 1050: 1033: 966: 886: 265: 67: 48: 1355: 1100: 545: 1082: 570: 555: 629: 1160: 857: 825: 752: 479: 139:, which triggers the atria to contract, and the current to pass back to the ventricles again via the 1284: 1110: 1040: 830: 727: 708: 538: 311: 98:, the accessory pathway in PJRT conducts slowly. This means that the associated tachycardia may be 1317: 1291: 1279: 1267: 1252: 986: 928: 732: 713: 365: 305: 258: 906: 872: 815: 793: 615: 597: 533: 400: 353: 281: 670: 665: 560: 475: 370: 140: 1166: 694: 675: 575: 486: 429: 17: 8: 1171: 1028: 1023: 946: 850: 820: 779: 405: 322: 1274: 1072: 894: 845: 470: 417: 327: 63: 1334: 1185: 1143: 1058: 876: 774: 491: 434: 332: 213: 180: 152: 87: 83: 1307: 1199: 1092: 788: 176: 1329: 721: 702: 689: 496: 375: 250: 1322: 1230: 1128: 1120: 1018: 528: 521: 508: 172: 168: 91: 79: 1349: 1312: 1223: 358: 119: 1244: 1218: 1062: 1010: 683: 659: 606: 465: 111: 233: 103:
accessory pathway can more often than not be in a non-posteroseptal site.
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Conduction pathway in atrioventricular reentrant tachycardia, a form of
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undertaken during an episode of AVRT demonstrates typical features of
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Termination of an episode of AVRT in PJRT can be achieved with
123: 94:. Unlike the accessory pathway in a more common cause of AVRT, 39: 280: 212:. ESC CardioMed (3 edn). Oxford University Press. 1347: 151:There may be no signs outside of an episode. An 210:Permanent junctional reciprocating tachycardia 57:Permanent junctional reciprocating tachycardia 33:Permanent junctional reciprocating tachycardia 266: 179:. Long-term management is best achieved with 72:atrioventricular reentrant tachycardia (AVRT) 122:, such as shortness of breath, fatigue and 583:Arrhythmogenic right ventricular dysplasia 273: 259: 38: 234:https://doi.org/10.1093/europace/euj007 14: 1348: 317:Spontaneous coronary artery dissection 254: 202: 86:in the heart which conducts from the 641:Nonbacterial thrombotic endocarditis 24: 937:Accelerated idioventricular rhythm 25: 1367: 622:Subacute bacterial endocarditis 141:atrioventricular node (AV node) 238: 225: 96:Wolff–Parkinson–White syndrome 13: 1: 1139:Pulseless electrical activity 1068:Multifocal atrial tachycardia 942:Catecholaminergic polymorphic 195: 186: 162: 146: 68:supraventricular tachycardia 49:supraventricular tachycardia 7: 106: 10: 1372: 1083:Wandering atrial pacemaker 630:non-infective endocarditis 571:Endocardial fibroelastosis 78:that, untreated, leads to 1300: 1243: 1161:hexaxial reference system 1152: 1119: 1106:Jervell and Lange-Nielsen 1091: 1049: 1008: 985: 959: 927: 885: 866: 765: 751: 651: 636:Libman–Sacks endocarditis 605: 591: 507: 456: 449: 386: 341: 298: 289: 74:. PJRT can cause chronic 46: 37: 32: 1041:Ventricular fibrillation 312:Coronary artery aneurysm 129: 124:oedema (fluid retention) 1318:Diastolic heart failure 1292:Athletic heart syndrome 1253:Ventricular hypertrophy 987:Pre-excitation syndrome 841:Left posterior fascicle 366:Acute coronary syndrome 306:Coronary artery disease 153:electrocardiogram (ECG) 836:Left anterior fascicle 616:infective endocarditis 401:Hibernating myocardium 282:Cardiovascular disease 1000:Wolff–Parkinson–White 960:Premature contraction 858:Adams–Stokes syndrome 561:Loeffler endocarditis 371:Myocardial infarction 1167:Right axis deviation 1129:Sudden cardiac death 487:Pericardial effusion 430:Ventricular aneurysm 1172:Left axis deviation 1029:Atrial fibrillation 1024:Ventricular flutter 947:Torsades de pointes 821:Bundle branch block 780:Sick sinus syndrome 566:Cardiac amyloidosis 551:Tachycardia-induced 406:Myocardial stunning 354:Prinzmetal's angina 323:Coronary thrombosis 232:2006, Pages 21–28, 1356:Cardiac arrhythmia 1275:Atrial enlargement 1073:Pacemaker syndrome 995:Lown–Ganong–Levine 917:Junctional ectopic 912:AV nodal reentrant 418:Myocardial rupture 328:Coronary vasospasm 82:. The cause is an 64:cardiac arrhythmia 1343: 1342: 1335:Obstructive shock 1239: 1238: 1186:Short QT syndrome 1153:Other / ungrouped 1144:Sinoatrial arrest 1059:Ectopic pacemaker 955: 954: 775:Sinus bradycardia 747: 746: 743: 742: 492:Cardiac tamponade 445: 444: 435:Dressler syndrome 333:Myocardial bridge 181:catheter ablation 84:accessory pathway 70:, and a cause of 54: 53: 27:Medical condition 16:(Redirected from 1363: 1308:Cardiac fibrosis 1200:T wave alternans 1093:Long QT syndrome 887:Supraventricular 883: 882: 816:Intraventricular 763: 762: 603: 602: 454: 453: 299:Coronary disease 296: 295: 275: 268: 261: 252: 251: 245: 242: 236: 229: 223: 206: 177:DC cardioversion 42: 30: 29: 21: 1371: 1370: 1366: 1365: 1364: 1362: 1361: 1360: 1346: 1345: 1344: 1339: 1330:Rheumatic fever 1296: 1235: 1148: 1115: 1087: 1045: 1004: 981: 951: 923: 870: 862: 756: 739: 647: 596: 587: 503: 497:Hemopericardium 441: 382: 376:Unstable angina 349:Angina pectoris 342:Active ischemia 337: 285: 279: 249: 248: 243: 239: 230: 226: 207: 203: 198: 189: 175:medications or 169:vagal manouvres 165: 149: 143:; see diagram. 132: 109: 28: 23: 22: 15: 12: 11: 5: 1369: 1359: 1358: 1341: 1340: 1338: 1337: 1332: 1327: 1326: 1325: 1323:Cardiac asthma 1320: 1310: 1304: 1302: 1298: 1297: 1295: 1294: 1289: 1288: 1287: 1282: 1272: 1271: 1270: 1265: 1260: 1249: 1247: 1241: 1240: 1237: 1236: 1234: 1233: 1231:Strain pattern 1228: 1227: 1226: 1221: 1216: 1204: 1203: 1202: 1190: 1189: 1188: 1176: 1175: 1174: 1169: 1156: 1154: 1150: 1149: 1147: 1146: 1141: 1136: 1131: 1125: 1123: 1121:Cardiac arrest 1117: 1116: 1114: 1113: 1108: 1103: 1101:Andersen–Tawil 1097: 1095: 1089: 1088: 1086: 1085: 1080: 1075: 1070: 1065: 1055: 1053: 1047: 1046: 1044: 1043: 1038: 1037: 1036: 1026: 1021: 1019:Atrial flutter 1015: 1013: 1006: 1005: 1003: 1002: 997: 991: 989: 983: 982: 980: 979: 974: 969: 963: 961: 957: 956: 953: 952: 950: 949: 944: 939: 933: 931: 925: 924: 922: 921: 920: 919: 914: 904: 903: 902: 891: 889: 880: 864: 863: 861: 860: 855: 854: 853: 848: 843: 838: 833: 828: 818: 813: 812: 811: 806: 801: 791: 782: 777: 771: 769: 760: 749: 748: 745: 744: 741: 740: 738: 737: 736: 735: 730: 718: 717: 716: 711: 699: 698: 697: 692: 680: 679: 678: 673: 668: 655: 653: 649: 648: 646: 645: 644: 643: 638: 626: 625: 624: 611: 609: 600: 589: 588: 586: 585: 580: 579: 578: 573: 568: 563: 558: 553: 548: 543: 542: 541: 529:Cardiomyopathy 526: 525: 524: 522:Chagas disease 513: 511: 505: 504: 502: 501: 500: 499: 494: 484: 483: 482: 473: 462: 460: 451: 447: 446: 443: 442: 440: 439: 438: 437: 432: 422: 421: 420: 410: 409: 408: 403: 392: 390: 384: 383: 381: 380: 379: 378: 373: 363: 362: 361: 356: 345: 343: 339: 338: 336: 335: 330: 325: 320: 314: 309: 302: 300: 293: 287: 286: 278: 277: 270: 263: 255: 247: 246: 237: 224: 200: 199: 197: 194: 188: 185: 173:antiarrhythmic 164: 161: 148: 145: 131: 128: 108: 105: 80:cardiomyopathy 52: 51: 44: 43: 35: 34: 26: 9: 6: 4: 3: 2: 1368: 1357: 1354: 1353: 1351: 1336: 1333: 1331: 1328: 1324: 1321: 1319: 1316: 1315: 1314: 1313:Heart failure 1311: 1309: 1306: 1305: 1303: 1299: 1293: 1290: 1286: 1283: 1281: 1278: 1277: 1276: 1273: 1269: 1266: 1264: 1261: 1259: 1256: 1255: 1254: 1251: 1250: 1248: 1246: 1242: 1232: 1229: 1225: 1224:ST depression 1222: 1220: 1217: 1215: 1212: 1211: 1210: 1209: 1205: 1201: 1198: 1197: 1196: 1195: 1191: 1187: 1184: 1183: 1182: 1181: 1177: 1173: 1170: 1168: 1165: 1164: 1163: 1162: 1158: 1157: 1155: 1151: 1145: 1142: 1140: 1137: 1135: 1132: 1130: 1127: 1126: 1124: 1122: 1118: 1112: 1109: 1107: 1104: 1102: 1099: 1098: 1096: 1094: 1090: 1084: 1081: 1079: 1076: 1074: 1071: 1069: 1066: 1064: 1060: 1057: 1056: 1054: 1052: 1048: 1042: 1039: 1035: 1032: 1031: 1030: 1027: 1025: 1022: 1020: 1017: 1016: 1014: 1012: 1007: 1001: 998: 996: 993: 992: 990: 988: 984: 978: 975: 973: 970: 968: 965: 964: 962: 958: 948: 945: 943: 940: 938: 935: 934: 932: 930: 926: 918: 915: 913: 910: 909: 908: 905: 901: 898: 897: 896: 893: 892: 890: 888: 884: 881: 878: 874: 869: 865: 859: 856: 852: 851:Trifascicular 849: 847: 844: 842: 839: 837: 834: 832: 829: 827: 824: 823: 822: 819: 817: 814: 810: 807: 805: 802: 800: 797: 796: 795: 792: 790: 786: 783: 781: 778: 776: 773: 772: 770: 768: 764: 761: 759: 754: 750: 734: 733:regurgitation 731: 729: 726: 725: 724: 723: 719: 715: 714:regurgitation 712: 710: 707: 706: 705: 704: 700: 696: 695:regurgitation 693: 691: 688: 687: 686: 685: 681: 677: 676:regurgitation 674: 672: 669: 667: 664: 663: 662: 661: 657: 656: 654: 650: 642: 639: 637: 634: 633: 632: 631: 627: 623: 620: 619: 618: 617: 613: 612: 610: 608: 604: 601: 599: 594: 590: 584: 581: 577: 574: 572: 569: 567: 564: 562: 559: 557: 554: 552: 549: 547: 544: 540: 537: 536: 535: 532: 531: 530: 527: 523: 520: 519: 518: 515: 514: 512: 510: 506: 498: 495: 493: 490: 489: 488: 485: 481: 477: 474: 472: 469: 468: 467: 464: 463: 461: 459: 455: 452: 448: 436: 433: 431: 428: 427: 426: 423: 419: 416: 415: 414: 411: 407: 404: 402: 399: 398: 397: 394: 393: 391: 389: 385: 377: 374: 372: 369: 368: 367: 364: 360: 359:Stable angina 357: 355: 352: 351: 350: 347: 346: 344: 340: 334: 331: 329: 326: 324: 321: 318: 315: 313: 310: 307: 304: 303: 301: 297: 294: 292: 288: 283: 276: 271: 269: 264: 262: 257: 256: 253: 241: 235: 228: 222: 219: 218:9780198784906 215: 211: 205: 201: 193: 184: 182: 178: 174: 170: 160: 158: 154: 144: 142: 138: 127: 125: 121: 120:heart failure 117: 113: 104: 101: 97: 93: 89: 85: 81: 77: 73: 69: 65: 61: 58: 50: 45: 41: 36: 31: 19: 1245:Cardiomegaly 1219:ST elevation 1206: 1192: 1178: 1159: 1063:Ectopic beat 1011:fibrillation 846:Bifascicular 720: 701: 682: 658: 628: 614: 607:Endocarditis 546:Hypertrophic 480:Constrictive 466:Pericarditis 424: 412: 395: 240: 227: 220:. Dec 2018. 209: 204: 190: 166: 156: 150: 133: 112:Palpitations 110: 90:back to the 59: 56: 55: 1111:Romano–Ward 1078:Parasystole 977:Ventricular 929:Ventricular 868:Tachycardia 785:Heart block 767:Bradycardia 593:Endocardium 556:Restrictive 517:Myocarditis 458:Pericardium 100:subclinical 76:tachycardia 1009:Flutter / 972:Junctional 907:Junctional 900:Multifocal 873:paroxysmal 789:Sinoatrial 758:arrhythmia 753:Conduction 509:Myocardium 208:Tanner H. 196:References 157:retrograde 116:myocardial 88:ventricles 66:. It is a 62:is a rare 1268:Pulmonary 1051:Pacemaker 722:pulmonary 703:tricuspid 539:Alcoholic 187:Prognosis 163:Treatment 147:Diagnosis 1350:Category 1134:Asystole 1034:Familial 728:stenosis 709:stenosis 690:stenosis 671:stenosis 666:prolapse 388:Sequelae 291:Ischemia 107:Symptoms 534:Dilated 476:Chronic 284:(heart) 137:systole 1214:J wave 967:Atrial 895:Atrial 684:aortic 660:mitral 652:Valves 598:valves 450:Layers 319:(SCAD) 216:  60:(PJRT) 1301:Other 1285:Right 1263:Right 877:sinus 826:Right 576:Viral 471:Acute 425:weeks 396:hours 308:(CAD) 130:Cause 92:atria 1280:Left 1258:Left 875:and 831:Left 413:days 214:ISBN 18:PJRT 1352:: 1208:ST 1180:QT 1061:/ 809:3° 804:2° 799:1° 794:AV 787:: 478:/ 183:. 171:, 126:. 1194:T 879:) 871:( 755:/ 595:/ 274:e 267:t 260:v 20:)

Index

PJRT

supraventricular tachycardia
cardiac arrhythmia
supraventricular tachycardia
atrioventricular reentrant tachycardia (AVRT)
tachycardia
cardiomyopathy
accessory pathway
ventricles
atria
Wolff–Parkinson–White syndrome
subclinical
Palpitations
myocardial
heart failure
oedema (fluid retention)
systole
atrioventricular node (AV node)
electrocardiogram (ECG)
vagal manouvres
antiarrhythmic
DC cardioversion
catheter ablation
ISBN
9780198784906

https://doi.org/10.1093/europace/euj007
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t

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