Dual AV Nodal Nonreentrant Tachycardia Resulting in Inappropriate ICD Therapy in a Patient with Cardiac Sarcoidosis

Dual atrioventricular nodal nonreentrant tachycardia (DAVNNT) occurs due to concurrent antegrade conduction over fast and slow atrioventricular nodal pathways and is treated by slow pathway modification. We describe a unique case of a patient with cardiac sarcoidosis who received inappropriate ICD s...

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Main Authors: Ankur A. Karnik, MD, Khashayar Hematpour, MD, Advay G. Bhatt, MD, Michael J. Mazzini, MD
Format: Article
Language:English
Published: Elsevier 2014-01-01
Series:Indian Pacing and Electrophysiology Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S097262921630715X
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spelling doaj-2f32a5770b63412395bd82c1f5ee884b2020-11-24T21:47:51ZengElsevierIndian Pacing and Electrophysiology Journal0972-62922014-01-01141444810.1016/S0972-6292(16)30715-XDual AV Nodal Nonreentrant Tachycardia Resulting in Inappropriate ICD Therapy in a Patient with Cardiac SarcoidosisAnkur A. Karnik, MDKhashayar Hematpour, MDAdvay G. Bhatt, MDMichael J. Mazzini, MDDual atrioventricular nodal nonreentrant tachycardia (DAVNNT) occurs due to concurrent antegrade conduction over fast and slow atrioventricular nodal pathways and is treated by slow pathway modification. We describe a unique case of a patient with cardiac sarcoidosis who received inappropriate ICD shocks for DAVNNT. Atrial and ventricular device electrograms satisfied both rate and V>A criteria for ventricular tachycardia. We postulate that alterations in refractoriness and conduction as is seen in cardiac sarcoidosis (CS) may have contributed to occurrence of DAVNNT.http://www.sciencedirect.com/science/article/pii/S097262921630715Xsupraventricular tachycardiadual atrioventricular nodal nonreentrant tachycardiaDAVNNTsarcoidosis
collection DOAJ
language English
format Article
sources DOAJ
author Ankur A. Karnik, MD
Khashayar Hematpour, MD
Advay G. Bhatt, MD
Michael J. Mazzini, MD
spellingShingle Ankur A. Karnik, MD
Khashayar Hematpour, MD
Advay G. Bhatt, MD
Michael J. Mazzini, MD
Dual AV Nodal Nonreentrant Tachycardia Resulting in Inappropriate ICD Therapy in a Patient with Cardiac Sarcoidosis
Indian Pacing and Electrophysiology Journal
supraventricular tachycardia
dual atrioventricular nodal nonreentrant tachycardia
DAVNNT
sarcoidosis
author_facet Ankur A. Karnik, MD
Khashayar Hematpour, MD
Advay G. Bhatt, MD
Michael J. Mazzini, MD
author_sort Ankur A. Karnik, MD
title Dual AV Nodal Nonreentrant Tachycardia Resulting in Inappropriate ICD Therapy in a Patient with Cardiac Sarcoidosis
title_short Dual AV Nodal Nonreentrant Tachycardia Resulting in Inappropriate ICD Therapy in a Patient with Cardiac Sarcoidosis
title_full Dual AV Nodal Nonreentrant Tachycardia Resulting in Inappropriate ICD Therapy in a Patient with Cardiac Sarcoidosis
title_fullStr Dual AV Nodal Nonreentrant Tachycardia Resulting in Inappropriate ICD Therapy in a Patient with Cardiac Sarcoidosis
title_full_unstemmed Dual AV Nodal Nonreentrant Tachycardia Resulting in Inappropriate ICD Therapy in a Patient with Cardiac Sarcoidosis
title_sort dual av nodal nonreentrant tachycardia resulting in inappropriate icd therapy in a patient with cardiac sarcoidosis
publisher Elsevier
series Indian Pacing and Electrophysiology Journal
issn 0972-6292
publishDate 2014-01-01
description Dual atrioventricular nodal nonreentrant tachycardia (DAVNNT) occurs due to concurrent antegrade conduction over fast and slow atrioventricular nodal pathways and is treated by slow pathway modification. We describe a unique case of a patient with cardiac sarcoidosis who received inappropriate ICD shocks for DAVNNT. Atrial and ventricular device electrograms satisfied both rate and V>A criteria for ventricular tachycardia. We postulate that alterations in refractoriness and conduction as is seen in cardiac sarcoidosis (CS) may have contributed to occurrence of DAVNNT.
topic supraventricular tachycardia
dual atrioventricular nodal nonreentrant tachycardia
DAVNNT
sarcoidosis
url http://www.sciencedirect.com/science/article/pii/S097262921630715X
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