Jan 1, 1986

Triple antegrade nodal pathway in a patient with supraventricular paroxysmal tachycardia

Journal of Electrocardiology
C SebagG Motte


A 69-year-old patient is described in whom programmed atrial extrastimulus testing revealed dual discontinuity of atrioventricular nodal conduction suggesting a triple antegrade nodal pathway. In this patient, programmed right ventricular pacing initiated two types of tachycardia due to intranodal reciprocating rhythms. In both cases, antegrade conduction occurred via the slow nodal pathway, and retrograde conduction by the fast and intermediate pathways, respectively. During ventricular extrastimulus testing, a single echo beat was elicited via a third circuit: the intermediate nodal pathway in a retrograde direction, and the fast pathway in an antegrade direction.

  • References1
  • Citations8


Mentioned in this Paper

Biochemical Pathway
Paroxysmal Reciprocal Tachycardia
Supraventricular Tachycardia
Cardiac Conduction System
Structure of Atrioventricular Node
NODAL gene
Heart Ventricle
Heart Atrium
Tachycardia, Paroxysmal
Cardiac Pacing, Artificial

About this Paper

Related Feeds

Cardiac Conduction System

The cardiac conduction system is a specialized tract of myocardial cells responsible for maintaining normal cardiac rhythm. Discover the latest research on the cardiac conduction system here.