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Re-entrant atrioventricular node tachycardia

MedGen UID:
11698
•Concept ID:
C0039232
•
Disease or Syndrome
Synonyms: Atrioventricular Nodal Re Entrant Tachycardia; Atrioventricular Nodal Re-Entrant Tachycardia; Atrioventricular Nodal Reentrant Tachycardia; Atrioventricular Nodal Reentry Tachycardia; Atrioventricular Reentrant Tachycardia; Atrioventricular Reentrant Tachycardias; AV Nodal Reentrant Tachycardia; Reentrant Tachycardia, Atrioventricular; Tachycardia, Atrioventricular Nodal Reentry; Tachycardia, Atrioventricular Reentrant; Tachycardia, AV Nodal Reentrant
SNOMED CT: Re-entrant atrioventricular node tachycardia (233896004); AVRNT - atrioventricular re-entrant nodal tachycardia (233896004); Atrioventricular nodal re-entry tachycardia (233896004); AV (atrioventricular) nodal re-entry tachycardia (233896004); AVNRT - atrioventricular nodal re-entrant tachycardia (233896004)

Definition

Abnormally rapid heartbeats caused by reentry of atrial impulse into the dual (fast and slow) pathways of ATRIOVENTRICULAR NODE. The common type involves a blocked atrial impulse in the slow pathway which reenters the fast pathway in a retrograde direction and simultaneously conducts to the atria and the ventricles leading to rapid HEART RATE of 150-250 beats per minute. [from MeSH]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVRe-entrant atrioventricular node tachycardia

Recent clinical studies

Etiology

Iatrogenic Atrioventricular Block.
Cheung CC, Mori S, Gerstenfeld EP
Cardiol Clin 2023 Aug;41(3):419-428. doi: 10.1016/j.ccl.2023.03.009. PMID: 37321692
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
Pathophysiology of ventricular tachyarrhythmias : From automaticity to reentry.
Enriquez A, Frankel DS, Baranchuk A
Herzschrittmacherther Elektrophysiol 2017 Jun;28(2):149-156. Epub 2017 May 31 doi: 10.1007/s00399-017-0512-4. PMID: 28567491
Cryoablation of atrioventricular nodal reentrant tachycardia: a clinical review.
de Sisti A, Tonet J
Pacing Clin Electrophysiol 2012 Feb;35(2):233-40. Epub 2011 Oct 20 doi: 10.1111/j.1540-8159.2011.03244.x. PMID: 22017562
Supraventricular tachycardia--part I.
Lee KW, Badhwar N, Scheinman MM
Curr Probl Cardiol 2008 Sep;33(9):467-546. doi: 10.1016/j.cpcardiol.2008.06.002. PMID: 18707990

Diagnosis

An irregular narrow complex tachycardia.
Zhang X, Yang R, Di Biase L
J Cardiovasc Electrophysiol 2021 Jan;32(1):151-155. Epub 2020 Dec 3 doi: 10.1111/jce.14815. PMID: 33205527
A Novel Concept in AVNRT.
Watanabe T, Imai Y
Int Heart J 2020;61(2):199-200. doi: 10.1536/ihj.20-066. PMID: 32224601
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 reentrant tachycardia.
Katritsis DG, Camm AJ
Circulation 2010 Aug 24;122(8):831-40. doi: 10.1161/CIRCULATIONAHA.110.936591. PMID: 20733110

Therapy

Iatrogenic Atrioventricular Block.
Cheung CC, Mori S, Gerstenfeld EP
Cardiol Clin 2023 Aug;41(3):419-428. doi: 10.1016/j.ccl.2023.03.009. PMID: 37321692
Pleomorphic wide complex tachycardia.
Sarcon A, Kim E, Rosenthal DG, Scheinman MM
Heart Rhythm 2022 Jan;19(1):167-168. doi: 10.1016/j.hrthm.2021.05.028. PMID: 34996582
Diagnosis and management of supraventricular tachycardia.
Whinnett ZI, Sohaib SM, Davies DW
BMJ 2012 Dec 11;345:e7769. doi: 10.1136/bmj.e7769. PMID: 23233691
Supraventricular tachycardia: implications for the intensivist.
Trohman RG
Crit Care Med 2000 Oct;28(10 Suppl):N129-35. doi: 10.1097/00003246-200010001-00004. PMID: 11055681
Antitachycardia pacing.
Gillette PC
Pacing Clin Electrophysiol 1997 Aug;20(8 Pt 2):2121-4. doi: 10.1111/j.1540-8159.1997.tb03641.x. PMID: 9272522

Prognosis

Iatrogenic Atrioventricular Block.
Cheung CC, Mori S, Gerstenfeld EP
Cardiol Clin 2023 Aug;41(3):419-428. doi: 10.1016/j.ccl.2023.03.009. PMID: 37321692
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
Cryoablation of atrioventricular nodal reentrant tachycardia: a clinical review.
de Sisti A, Tonet J
Pacing Clin Electrophysiol 2012 Feb;35(2):233-40. Epub 2011 Oct 20 doi: 10.1111/j.1540-8159.2011.03244.x. PMID: 22017562
Supraventricular tachycardia--part I.
Lee KW, Badhwar N, Scheinman MM
Curr Probl Cardiol 2008 Sep;33(9):467-546. doi: 10.1016/j.cpcardiol.2008.06.002. PMID: 18707990
Atrial flutter update.
Cosío FG
Card Electrophysiol Rev 2002 Dec;6(4):356-64. doi: 10.1023/a:1021119905261. PMID: 12438813

Clinical prediction guides

Iatrogenic Atrioventricular Block.
Cheung CC, Mori S, Gerstenfeld EP
Cardiol Clin 2023 Aug;41(3):419-428. doi: 10.1016/j.ccl.2023.03.009. PMID: 37321692
Ripple mapping: A precise tool for atrioventricular nodal reentrant tachycardia ablation.
Howard TS, Valdes SO, Zobeck MC, Lam WW, Miyake CY, Rochelson E, Pham TDN, Kim JJ
J Cardiovasc Electrophysiol 2022 Jun;33(6):1183-1189. Epub 2022 Apr 28 doi: 10.1111/jce.15491. PMID: 35419906
Predictors of AVNRT Recurrence After Slow Pathway Modification.
Wegner FK, Habbel P, Schuppert P, Frommeyer G, Ellermann C, Lange PS, Leitz P, Köbe J, Wasmer K, Eckardt L, Dechering DG
Int Heart J 2021 Jan 30;62(1):72-77. Epub 2021 Jan 16 doi: 10.1536/ihj.20-463. PMID: 33455989
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
Irregular Narrow Complex Tachycardia.
Fadahunsi OO, Elsokkari I, AbdelWahab A
Circulation 2019 Apr 9;139(15):1848-1850. doi: 10.1161/CIRCULATIONAHA.118.039165. PMID: 30958722

Recent systematic reviews

Arrhythmias Beyond Atrial Fibrillation Detection Using Smartwatches: A Systematic Review.
Pay L, Yumurtaş AÇ, Satti DI, Hui JMH, Chan JSK, Mahalwar G, Lee YHA, Tezen O, Birdal O, Inan D, Özkan E, Tse G, Çinier G
Anatol J Cardiol 2023 Mar;27(3):126-131. doi: 10.14744/AnatolJCardiol.2023.2799. PMID: 36856589Free PMC Article
Late pacemaker implantation after atrioventricular nodal reentrant tachycardia ablation: A systematic review and meta-analysis.
Sim MG, Chan SP, Kojodjojo P, Tan ESJ
J Cardiovasc Electrophysiol 2022 Nov;33(11):2297-2304. Epub 2022 Sep 30 doi: 10.1111/jce.15680. PMID: 36124400
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 radiofrequency ablation of atrioventricular nodal reentrant tachycardia.
Santangeli P, Proietti R, Di Biase L, Bai R, Natale A
J Interv Card Electrophysiol 2014 Mar;39(2):111-9. Epub 2013 Nov 29 doi: 10.1007/s10840-013-9842-2. PMID: 24293174
Remote magnetic navigation for catheter ablation of atrioventricular nodal reentrant tachycardia: a systematic review and meta-analysis.
Shurrab M, Danon A, Crystal A, Arouny B, Tiong I, Lashevsky I, Newman D, Crystal E
Expert Rev Cardiovasc Ther 2013 Jul;11(7):829-36. doi: 10.1586/14779072.2013.811968. PMID: 23895026

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