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Supraventricular tachycardia with a concealed accessory pathway on the right free wall

MedGen UID:
868819
•Concept ID:
C4023229
•
Finding
HPO: HP:0011692

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVSupraventricular tachycardia with a concealed accessory pathway on the right free wall

Professional guidelines

PubMed

First postpacing interval after tachycardia entrainment with correction for atrioventricular node delay: a simple maneuver for differential diagnosis of atrioventricular nodal reentrant tachycardias versus orthodromic reciprocating tachycardias.
González-Torrecilla E, Arenal A, Atienza F, Osca J, García-Fernández J, Puchol A, Sánchez A, Almendral J
Heart Rhythm 2006 Jun;3(6):674-9. Epub 2006 Mar 6 doi: 10.1016/j.hrthm.2006.02.019. PMID: 16731468

Recent clinical studies

Etiology

Cannon A wave validation as a diagnostic tool in paroxysmal supraventricular tachycardias.
González-Casal D, Pérez-Castellanos A, Flores NS, Carta-Bergaz A, González-Torrecilla E, Bruña Fernández V, Ávila P, Atienza F, Arenal Á, González-Panizo J, Fernández-Avilés F, Cabrera JA, Datino T
Pacing Clin Electrophysiol 2024 Mar;47(3):383-391. Epub 2024 Feb 13 doi: 10.1111/pace.14946. PMID: 38348921
Retroflexed catheter course reduces the risk of right free wall accessory pathway recurrence.
Przybylski R, DeWitt ES, Meziab O, Gauvreau K, Dionne A, O'Leary ET, Alexander ME, Walsh EP, Mah DY
J Cardiovasc Electrophysiol 2023 Sep;34(9):1828-1834. Epub 2023 Jul 14 doi: 10.1111/jce.16003. PMID: 37449445
Right free-wall accessory pathway with branched atrial insertions: Clinical, electrocardiographic, and electrophysiological characteristics.
Li MM, Li JY, Sang CH, Jiang CX, Guo XY, Zhao X, Li SN, Wang W, Tang RB, Long DY, Dong JZ, Du X, Ma CS
Heart Rhythm 2020 Feb;17(2):243-249. Epub 2019 Aug 27 doi: 10.1016/j.hrthm.2019.08.023. PMID: 31470131
The effect of ventricular pre-excitation on ventricular wall motion and left ventricular systolic function.
Dai C, Guo B, Li W, Xiao Y, Jin M, Han L, Dong J
Europace 2018 Jul 1;20(7):1175-1181. doi: 10.1093/europace/eux242. PMID: 29016834
Multiple accessory pathways in the permanent form of junctional reciprocating tachycardia.
Shih HT, Miles WM, Klein LS, Hubbard JE, Zipes DP
Am J Cardiol 1994 Feb 15;73(5):361-7. doi: 10.1016/0002-9149(94)90009-4. PMID: 8109550

Diagnosis

Cannon A wave validation as a diagnostic tool in paroxysmal supraventricular tachycardias.
González-Casal D, Pérez-Castellanos A, Flores NS, Carta-Bergaz A, González-Torrecilla E, Bruña Fernández V, Ávila P, Atienza F, Arenal Á, González-Panizo J, Fernández-Avilés F, Cabrera JA, Datino T
Pacing Clin Electrophysiol 2024 Mar;47(3):383-391. Epub 2024 Feb 13 doi: 10.1111/pace.14946. PMID: 38348921
Catheter Ablation of a Right Atrial Free Wall Diverticulum-Related Accessory Pathway Masquerading as a Septal One.
Kong LC, Shuang T, Zhao L, Pu J, Wang XH
Int Heart J 2023 Mar 31;64(1):81-84. Epub 2023 Jan 23 doi: 10.1536/ihj.22-267. PMID: 36682766
Limitations of ventricular pacing maneuvers to differentiate orthodromic reciprocating tachycardia from atrioventricular nodal reentry tachycardia.
Kupó P, Tutuianu CI, Kaninski G, Gingl Z, Sághy L, Pap R
J Interv Card Electrophysiol 2022 Mar;63(2):323-331. Epub 2021 Apr 19 doi: 10.1007/s10840-021-00993-1. PMID: 33871788
The effect of ventricular pre-excitation on ventricular wall motion and left ventricular systolic function.
Dai C, Guo B, Li W, Xiao Y, Jin M, Han L, Dong J
Europace 2018 Jul 1;20(7):1175-1181. doi: 10.1093/europace/eux242. PMID: 29016834
Performance of the SA-VA Difference to Differentiate Atrioventricular Nodal Reentrant Tachycardia from Orthodromic Reentrant Tachycardia in a Large Cohort of Consecutive Patients.
Akerström F, Pachón M, García-Fernández FJ, Puchol A, Salgado R, Rodríguez-Padial L, Arias MA
Pacing Clin Electrophysiol 2015 Sep;38(9):1066-72. Epub 2015 Jul 16 doi: 10.1111/pace.12673. PMID: 26095973

Therapy

Retroflexed catheter course reduces the risk of right free wall accessory pathway recurrence.
Przybylski R, DeWitt ES, Meziab O, Gauvreau K, Dionne A, O'Leary ET, Alexander ME, Walsh EP, Mah DY
J Cardiovasc Electrophysiol 2023 Sep;34(9):1828-1834. Epub 2023 Jul 14 doi: 10.1111/jce.16003. PMID: 37449445
Radiofrequency catheter ablation of atrioventricular accessory pathways in Wolff-Parkinson-White syndrome with drug-refractory and symptomatic supraventricular tachycardia--its high effectiveness irrespective of accessory pathway location and properties.
Iesaka Y, Takahashi A, Chun YH, Igawa M, Tokunaga T, Amemiya H, Fujiwara H, Aonuma K, Nogami A, Hiroe M
Jpn Circ J 1994 Oct;58(10):767-77. doi: 10.1253/jcj.58.767. PMID: 7966998

Prognosis

Retroflexed catheter course reduces the risk of right free wall accessory pathway recurrence.
Przybylski R, DeWitt ES, Meziab O, Gauvreau K, Dionne A, O'Leary ET, Alexander ME, Walsh EP, Mah DY
J Cardiovasc Electrophysiol 2023 Sep;34(9):1828-1834. Epub 2023 Jul 14 doi: 10.1111/jce.16003. PMID: 37449445
Right free-wall accessory pathway with branched atrial insertions: Clinical, electrocardiographic, and electrophysiological characteristics.
Li MM, Li JY, Sang CH, Jiang CX, Guo XY, Zhao X, Li SN, Wang W, Tang RB, Long DY, Dong JZ, Du X, Ma CS
Heart Rhythm 2020 Feb;17(2):243-249. Epub 2019 Aug 27 doi: 10.1016/j.hrthm.2019.08.023. PMID: 31470131
Performance of the SA-VA Difference to Differentiate Atrioventricular Nodal Reentrant Tachycardia from Orthodromic Reentrant Tachycardia in a Large Cohort of Consecutive Patients.
Akerström F, Pachón M, García-Fernández FJ, Puchol A, Salgado R, Rodríguez-Padial L, Arias MA
Pacing Clin Electrophysiol 2015 Sep;38(9):1066-72. Epub 2015 Jul 16 doi: 10.1111/pace.12673. PMID: 26095973
First postpacing interval after tachycardia entrainment with correction for atrioventricular node delay: a simple maneuver for differential diagnosis of atrioventricular nodal reentrant tachycardias versus orthodromic reciprocating tachycardias.
González-Torrecilla E, Arenal A, Atienza F, Osca J, García-Fernández J, Puchol A, Sánchez A, Almendral J
Heart Rhythm 2006 Jun;3(6):674-9. Epub 2006 Mar 6 doi: 10.1016/j.hrthm.2006.02.019. PMID: 16731468
Multiple accessory pathways in the permanent form of junctional reciprocating tachycardia.
Shih HT, Miles WM, Klein LS, Hubbard JE, Zipes DP
Am J Cardiol 1994 Feb 15;73(5):361-7. doi: 10.1016/0002-9149(94)90009-4. PMID: 8109550

Clinical prediction guides

Retroflexed catheter course reduces the risk of right free wall accessory pathway recurrence.
Przybylski R, DeWitt ES, Meziab O, Gauvreau K, Dionne A, O'Leary ET, Alexander ME, Walsh EP, Mah DY
J Cardiovasc Electrophysiol 2023 Sep;34(9):1828-1834. Epub 2023 Jul 14 doi: 10.1111/jce.16003. PMID: 37449445
Limitations of ventricular pacing maneuvers to differentiate orthodromic reciprocating tachycardia from atrioventricular nodal reentry tachycardia.
Kupó P, Tutuianu CI, Kaninski G, Gingl Z, Sághy L, Pap R
J Interv Card Electrophysiol 2022 Mar;63(2):323-331. Epub 2021 Apr 19 doi: 10.1007/s10840-021-00993-1. PMID: 33871788
Performance of the SA-VA Difference to Differentiate Atrioventricular Nodal Reentrant Tachycardia from Orthodromic Reentrant Tachycardia in a Large Cohort of Consecutive Patients.
Akerström F, Pachón M, García-Fernández FJ, Puchol A, Salgado R, Rodríguez-Padial L, Arias MA
Pacing Clin Electrophysiol 2015 Sep;38(9):1066-72. Epub 2015 Jul 16 doi: 10.1111/pace.12673. PMID: 26095973
First postpacing interval after tachycardia entrainment with correction for atrioventricular node delay: a simple maneuver for differential diagnosis of atrioventricular nodal reentrant tachycardias versus orthodromic reciprocating tachycardias.
González-Torrecilla E, Arenal A, Atienza F, Osca J, García-Fernández J, Puchol A, Sánchez A, Almendral J
Heart Rhythm 2006 Jun;3(6):674-9. Epub 2006 Mar 6 doi: 10.1016/j.hrthm.2006.02.019. PMID: 16731468
Reliability of retrograde atrial activation patterns during ventricular pacing for localizing accessory pathways.
Crossen KJ, Lindsay BD, Cain ME
J Am Coll Cardiol 1987 Jun;9(6):1279-87. doi: 10.1016/s0735-1097(87)80467-9. PMID: 3584720

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