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Orthodromic atrioventricular reentrant tachycardia

MedGen UID:
1642094
•Concept ID:
C4703470
•
Disease or Syndrome
Synonym: Orthodromic AVRT
 
HPO: HP:0031673

Definition

A type of atrioventricular reentrant tachycardia (AVRT) where the atrioventricular node is used for anterograde conduction and the accessory pathway for retrograde conduction. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVOrthodromic atrioventricular reentrant tachycardia

Professional guidelines

PubMed

Clinical course and treatment of children and adolescents with the preexcitation syndrome - own studies.
Stasiak A, Niewiadomska-Jarosik K, Kędziora P
Dev Period Med 2018;22(2):113-122. doi: 10.34763/devperiodmed.20182202.113122. PMID: 30056397Free PMC Article
Flecainide acetate for treatment of bypass tract mediated reentrant tachycardia.
Zee-Cheng CS, Kim SS, Ruffy R
Am J Cardiol 1988 Aug 25;62(6):23D-28D. doi: 10.1016/0002-9149(88)90498-5. PMID: 3136631

Recent clinical studies

Etiology

Catheter Ablation for Atrial Fibrillation in Patients ≤30 Years of Age.
Yalin K, Ikitimur B, Aksu T, Ozcan EE, Ding WY, Soysal AU, Lyan E, Eitel C, Saygi S, Turan OE, Hegeer CH, Tilz RR, Gupta D
Am J Cardiol 2022 Mar 1;166:53-57. Epub 2021 Dec 30 doi: 10.1016/j.amjcard.2021.11.020. PMID: 34973688
Clinical course and treatment of children and adolescents with the preexcitation syndrome - own studies.
Stasiak A, Niewiadomska-Jarosik K, Kędziora P
Dev Period Med 2018;22(2):113-122. doi: 10.34763/devperiodmed.20182202.113122. PMID: 30056397Free PMC Article
Incidence and prognostic significance of spontaneous and inducible antidromic tachycardia.
Brembilla-Perrot B, Pauriah M, Sellal JM, Zinzius PY, Schwartz J, de Chillou C, Cismaru G, Beurrier D, Voilliot D, Selton O, Louis P, Andronache M, Nosu R, de la Chaise AT
Europace 2013 Jun;15(6):871-6. Epub 2012 Nov 12 doi: 10.1093/europace/eus354. PMID: 23148120
Differentiating atrioventricular nodal reentrant tachycardia from atrioventricular reentrant tachycardia by DeltaHA values during entrainment from the ventricle.
Ho RT, Mark GE, Rhim ES, Pavri BB, Greenspon AJ
Heart Rhythm 2008 Jan;5(1):83-8. Epub 2007 Sep 19 doi: 10.1016/j.hrthm.2007.09.017. PMID: 18180023
Para-Hisian entrainment: a novel pacing maneuver to differentiate orthodromic atrioventricular reentrant tachycardia from atrioventricular nodal reentrant tachycardia.
Reddy VY, Jongnarangsin K, Albert CM, Sabbour H, Keane D, Mela T, McGovern B, Ruskin JN
J Cardiovasc Electrophysiol 2003 Dec;14(12):1321-8. doi: 10.1046/j.1540-8167.2003.03239.x. PMID: 14678108

Diagnosis

Forward-Solution Noninvasive Computational Arrhythmia Mapping: The VMAP Study.
Krummen DE, Villongco CT, Ho G, Schricker AA, Field ME, Sung K, Kacena KA, Martinson MS, Hoffmayer KS, Hsu JC, Raissi F, Feld GK, McCulloch AD, Han FT
Circ Arrhythm Electrophysiol 2022 Sep;15(9):e010857. Epub 2022 Sep 7 doi: 10.1161/CIRCEP.122.010857. PMID: 36069189Free PMC Article
Catheter Ablation for Atrial Fibrillation in Patients ≤30 Years of Age.
Yalin K, Ikitimur B, Aksu T, Ozcan EE, Ding WY, Soysal AU, Lyan E, Eitel C, Saygi S, Turan OE, Hegeer CH, Tilz RR, Gupta D
Am J Cardiol 2022 Mar 1;166:53-57. Epub 2021 Dec 30 doi: 10.1016/j.amjcard.2021.11.020. PMID: 34973688
The Utility of a Lewis Lead for Distinguishing Atrioventricular Reentrant Tachycardia from Typical Atrioventricular Nodal Reentrant Tachycardia.
Yazaki Y, Satomi K, Chikamori T
Intern Med 2022 Jun 1;61(11):1645-1651. Epub 2021 Nov 6 doi: 10.2169/internalmedicine.8470-21. PMID: 34744113Free PMC Article
Incidence and prognostic significance of spontaneous and inducible antidromic tachycardia.
Brembilla-Perrot B, Pauriah M, Sellal JM, Zinzius PY, Schwartz J, de Chillou C, Cismaru G, Beurrier D, Voilliot D, Selton O, Louis P, Andronache M, Nosu R, de la Chaise AT
Europace 2013 Jun;15(6):871-6. Epub 2012 Nov 12 doi: 10.1093/europace/eus354. PMID: 23148120
Differentiating atrioventricular nodal reentrant tachycardia from atrioventricular reentrant tachycardia by DeltaHA values during entrainment from the ventricle.
Ho RT, Mark GE, Rhim ES, Pavri BB, Greenspon AJ
Heart Rhythm 2008 Jan;5(1):83-8. Epub 2007 Sep 19 doi: 10.1016/j.hrthm.2007.09.017. PMID: 18180023

Therapy

The appearance of new accessory pathway after the Cone procedure.
Nguyen DSN, Chang SL, Weng CJ, Wu FY, Chen SA
J Cardiovasc Electrophysiol 2023 Dec;34(12):2617-2620. Epub 2023 Nov 14 doi: 10.1111/jce.16130. PMID: 37964504
The characteristics of verapamil-sensitive idiopathic left ventricular tachycardia combined with a left accessory pathway and the effect of radiofrequency catheter ablation.
Hu JQ, Ma J, Yang Q, Liao ZL, Hou Y, Zhang S
Europace 2012 May;14(5):703-8. Epub 2011 Oct 19 doi: 10.1093/europace/eur330. PMID: 22016304
Electrophysiological effects, efficacy and safety of intravenous propafenone in termination of atrioventricular nodal reentrant tachycardia and atrioventricular reentrant tachycardia: a prospective non-randomized interventional study.
Pintarić H, Manola S, Nossan JS, Pavlović N, Delić-Brkljacić D, Radeljić V
Acta Clin Croat 2010 Mar;49(1):25-31. PMID: 20635581
Para-Hisian entrainment: a novel pacing maneuver to differentiate orthodromic atrioventricular reentrant tachycardia from atrioventricular nodal reentrant tachycardia.
Reddy VY, Jongnarangsin K, Albert CM, Sabbour H, Keane D, Mela T, McGovern B, Ruskin JN
J Cardiovasc Electrophysiol 2003 Dec;14(12):1321-8. doi: 10.1046/j.1540-8167.2003.03239.x. PMID: 14678108
Electrophysiologic effects and clinical efficacy of flecainide in children with recurrent paroxysmal supraventricular tachycardia.
Musto B, D'Onofrio A, Cavallaro C, Musto A, Greco R
Am J Cardiol 1988 Aug 1;62(4):229-33. doi: 10.1016/0002-9149(88)90217-2. PMID: 3135739

Prognosis

Clinical course and treatment of children and adolescents with the preexcitation syndrome - own studies.
Stasiak A, Niewiadomska-Jarosik K, Kędziora P
Dev Period Med 2018;22(2):113-122. doi: 10.34763/devperiodmed.20182202.113122. PMID: 30056397Free PMC Article
Incidence and prognostic significance of spontaneous and inducible antidromic tachycardia.
Brembilla-Perrot B, Pauriah M, Sellal JM, Zinzius PY, Schwartz J, de Chillou C, Cismaru G, Beurrier D, Voilliot D, Selton O, Louis P, Andronache M, Nosu R, de la Chaise AT
Europace 2013 Jun;15(6):871-6. Epub 2012 Nov 12 doi: 10.1093/europace/eus354. PMID: 23148120
A new algorithm for concealed accessory pathway localization using T-wave-subtracted retrograde P-wave polarity during orthodromic atrioventricular reentrant tachycardia.
Rostock T, Sydow K, Steven D, Lutomsky B, Servatius H, Drewitz I, Falke V, Müllerleile K, Ventura R, Meinertz T, Willems S
J Interv Card Electrophysiol 2008 Jun;22(1):55-63. Epub 2008 Apr 16 doi: 10.1007/s10840-008-9253-y. PMID: 18415672
Differentiating atrioventricular nodal reentrant tachycardia from atrioventricular reentrant tachycardia by DeltaHA values during entrainment from the ventricle.
Ho RT, Mark GE, Rhim ES, Pavri BB, Greenspon AJ
Heart Rhythm 2008 Jan;5(1):83-8. Epub 2007 Sep 19 doi: 10.1016/j.hrthm.2007.09.017. PMID: 18180023
Para-Hisian entrainment: a novel pacing maneuver to differentiate orthodromic atrioventricular reentrant tachycardia from atrioventricular nodal reentrant tachycardia.
Reddy VY, Jongnarangsin K, Albert CM, Sabbour H, Keane D, Mela T, McGovern B, Ruskin JN
J Cardiovasc Electrophysiol 2003 Dec;14(12):1321-8. doi: 10.1046/j.1540-8167.2003.03239.x. PMID: 14678108

Clinical prediction guides

A new algorithm for concealed accessory pathway localization using T-wave-subtracted retrograde P-wave polarity during orthodromic atrioventricular reentrant tachycardia.
Rostock T, Sydow K, Steven D, Lutomsky B, Servatius H, Drewitz I, Falke V, Müllerleile K, Ventura R, Meinertz T, Willems S
J Interv Card Electrophysiol 2008 Jun;22(1):55-63. Epub 2008 Apr 16 doi: 10.1007/s10840-008-9253-y. PMID: 18415672
Differentiating atrioventricular nodal reentrant tachycardia from atrioventricular reentrant tachycardia by DeltaHA values during entrainment from the ventricle.
Ho RT, Mark GE, Rhim ES, Pavri BB, Greenspon AJ
Heart Rhythm 2008 Jan;5(1):83-8. Epub 2007 Sep 19 doi: 10.1016/j.hrthm.2007.09.017. PMID: 18180023
Double potentials at successful catheter ablation site of left-sided retrograde accessory pathway: mitral isthmus block or conduction through coronary sinus musculature.
Fujiki A, Usuda K, Mizumaki K, Abe T, Iwamoto J, Ishikawa T, Inoue H
Int J Cardiol 2007 Apr 12;117(1):90-6. Epub 2006 Jul 26 doi: 10.1016/j.ijcard.2006.04.055. PMID: 16872697
Atrioventricular junctional and orthodromic atrioventricular reentrant tachycardia in Wolff-Parkinson-White syndrome.
Medeiros CM, Zimerman LI, Ribeiro JP, Zago AJ
J Electrocardiol 1993 Jan;26(1):83-9. doi: 10.1016/0022-0736(93)90069-p. PMID: 8433058
Right atrial diverticulum presenting as Wolff-Parkinson-White syndrome.
Campbell RM, Parks WJ, Crawford FA, Gillette PC
Pacing Clin Electrophysiol 1992 Aug;15(8):1101-4. doi: 10.1111/j.1540-8159.1992.tb03110.x. PMID: 1381075

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