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Tachycardia, Reciprocating

MedGen UID:
116606
•Concept ID:
C0242514
•
Disease or Syndrome
Synonyms: Reciprocal Tachycardia; Reciprocal Tachycardias; Reciprocating Tachycardia; Reciprocating Tachycardias; Tachycardia, Reciprocal; Tachycardias, Reciprocal; Tachycardias, Reciprocating

Definition

Abnormally rapid heartbeats caused by reentrant conduction over the accessory pathways between the HEART ATRIA and the HEART VENTRICLES. The impulse can also travel in the reverse direction, as in some cases, atrial impulses travel to the ventricles over the accessory pathways and back to the atria over the BUNDLE OF HIS and the ATRIOVENTRICULAR NODE. [from MeSH]

Professional guidelines

PubMed

2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society.
Page RL, Joglar JA, Caldwell MA, Calkins H, Conti JB, Deal BJ, Estes NA 3rd, Field ME, Goldberger ZD, Hammill SC, Indik JH, Lindsay BD, Olshansky B, Russo AM, Shen WK, Tracy CM, Al-Khatib SM; Evidence Review Committee Chair‡
Circulation 2016 Apr 5;133(14):e506-74. Epub 2015 Sep 23 doi: 10.1161/CIR.0000000000000311. PMID: 26399663
2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society.
Page RL, Joglar JA, Caldwell MA, Calkins H, Conti JB, Deal BJ, Estes NA 3rd, Field ME, Goldberger ZD, Hammill SC, Indik JH, Lindsay BD, Olshansky B, Russo AM, Shen WK, Tracy CM, Al-Khatib SM; Evidence Review Committee Chair‡
Circulation 2016 Apr 5;133(14):e471-505. Epub 2015 Sep 23 doi: 10.1161/CIR.0000000000000310. PMID: 26399662
Narrow complex tachycardias. Differential diagnosis and management.
Sager PT, Bhandari AK
Cardiol Clin 1991 Nov;9(4):619-40. PMID: 1811869

Recent clinical studies

Etiology

Clinical Course and Electrophysiological Characteristics of Permanent Junctional Reciprocating Tachycardia in Children.
Ergül Y, Sulu A, Çaran B, Kafalı HC, Akdeniz C, Tuzcu V
Anatol J Cardiol 2022 Dec;26(12):880-885. doi: 10.5152/AnatolJCardiol.2022.1948. PMID: 35949117Free PMC Article
Radiofrequency catheter ablation of patients with permanent junctional reciprocating tachycardia and long-term follow-up results.
Gökoğlan Y, Vurgun VK, Kabul HK, Görmel S, Yaşar S, Asil S, Fırtına S, Yıldırım E, Amasyalı B, Köse S
J Interv Card Electrophysiol 2022 Mar;63(2):461-469. Epub 2021 Sep 2 doi: 10.1007/s10840-021-01057-0. PMID: 34476675
Catheter ablation of orthodromic reciprocating tachycardia and atrioventricular nodal reentrant tachycardia in children with hypoplastic left heart syndrome.
Malkar M, Kannankeril PJ, Radbill AE, Fish FA
J Cardiovasc Electrophysiol 2020 Aug;31(8):2043-2048. Epub 2020 Jun 29 doi: 10.1111/jce.14619. PMID: 32542917
Wolff-Parkinson-White syndrome: lessons learnt and lessons remaining.
Benson DW, Cohen MI
Cardiol Young 2017 Jan;27(S1):S62-S67. doi: 10.1017/S1047951116002250. PMID: 28084962
Characteristics of Decremental Accessory Pathways in Children.
Hill AC, Silka MJ, Wee CP, Bar-Cohen Y
Circ Arrhythm Electrophysiol 2016 Nov;9(11) doi: 10.1161/CIRCEP.116.004190. PMID: 27784736

Diagnosis

Clinical Course and Electrophysiological Characteristics of Permanent Junctional Reciprocating Tachycardia in Children.
Ergül Y, Sulu A, Çaran B, Kafalı HC, Akdeniz C, Tuzcu V
Anatol J Cardiol 2022 Dec;26(12):880-885. doi: 10.5152/AnatolJCardiol.2022.1948. PMID: 35949117Free PMC Article
Catheter ablation of orthodromic reciprocating tachycardia and atrioventricular nodal reentrant tachycardia in children with hypoplastic left heart syndrome.
Malkar M, Kannankeril PJ, Radbill AE, Fish FA
J Cardiovasc Electrophysiol 2020 Aug;31(8):2043-2048. Epub 2020 Jun 29 doi: 10.1111/jce.14619. PMID: 32542917
2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society.
Page RL, Joglar JA, Caldwell MA, Calkins H, Conti JB, Deal BJ, Estes NA 3rd, Field ME, Goldberger ZD, Hammill SC, Indik JH, Lindsay BD, Olshansky B, Russo AM, Shen WK, Tracy CM, Al-Khatib SM; Evidence Review Committee Chair‡
Circulation 2016 Apr 5;133(14):e506-74. Epub 2015 Sep 23 doi: 10.1161/CIR.0000000000000311. PMID: 26399663
2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society.
Page RL, Joglar JA, Caldwell MA, Calkins H, Conti JB, Deal BJ, Estes NA 3rd, Field ME, Goldberger ZD, Hammill SC, Indik JH, Lindsay BD, Olshansky B, Russo AM, Shen WK, Tracy CM, Al-Khatib SM; Evidence Review Committee Chair‡
Circulation 2016 Apr 5;133(14):e471-505. Epub 2015 Sep 23 doi: 10.1161/CIR.0000000000000310. PMID: 26399662
The clinical utility of entrainment pacing.
Deo R, Berger R
J Cardiovasc Electrophysiol 2009 Apr;20(4):466-70. Epub 2009 Jan 16 doi: 10.1111/j.1540-8167.2008.01409.x. PMID: 19207769

Therapy

Catheter ablation of orthodromic reciprocating tachycardia and atrioventricular nodal reentrant tachycardia in children with hypoplastic left heart syndrome.
Malkar M, Kannankeril PJ, Radbill AE, Fish FA
J Cardiovasc Electrophysiol 2020 Aug;31(8):2043-2048. Epub 2020 Jun 29 doi: 10.1111/jce.14619. PMID: 32542917
Unusual variants of pre-excitation: From anatomy to ablation: Part III-Clinical presentation, electrophysiologic characteristics, when and how to ablate nodoventricular, nodofascicular, fasciculoventricular pathways, along with considerations of permanent junctional reciprocating tachycardia.
Soares Correa F, Lokhandwala Y, Sánchez-Quintana D, Mori S, Anderson RH, Wellens HJJ, Back Sternick E
J Cardiovasc Electrophysiol 2019 Dec;30(12):3097-3115. Epub 2019 Nov 14 doi: 10.1111/jce.14247. PMID: 31646696
Wolff-Parkinson-White syndrome: lessons learnt and lessons remaining.
Benson DW, Cohen MI
Cardiol Young 2017 Jan;27(S1):S62-S67. doi: 10.1017/S1047951116002250. PMID: 28084962
2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society.
Page RL, Joglar JA, Caldwell MA, Calkins H, Conti JB, Deal BJ, Estes NA 3rd, Field ME, Goldberger ZD, Hammill SC, Indik JH, Lindsay BD, Olshansky B, Russo AM, Shen WK, Tracy CM, Al-Khatib SM; Evidence Review Committee Chair‡
Circulation 2016 Apr 5;133(14):e506-74. Epub 2015 Sep 23 doi: 10.1161/CIR.0000000000000311. PMID: 26399663
2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society.
Page RL, Joglar JA, Caldwell MA, Calkins H, Conti JB, Deal BJ, Estes NA 3rd, Field ME, Goldberger ZD, Hammill SC, Indik JH, Lindsay BD, Olshansky B, Russo AM, Shen WK, Tracy CM, Al-Khatib SM; Evidence Review Committee Chair‡
Circulation 2016 Apr 5;133(14):e471-505. Epub 2015 Sep 23 doi: 10.1161/CIR.0000000000000310. PMID: 26399662

Prognosis

Clinical Course and Electrophysiological Characteristics of Permanent Junctional Reciprocating Tachycardia in Children.
Ergül Y, Sulu A, Çaran B, Kafalı HC, Akdeniz C, Tuzcu V
Anatol J Cardiol 2022 Dec;26(12):880-885. doi: 10.5152/AnatolJCardiol.2022.1948. PMID: 35949117Free PMC Article
Radiofrequency catheter ablation of patients with permanent junctional reciprocating tachycardia and long-term follow-up results.
Gökoğlan Y, Vurgun VK, Kabul HK, Görmel S, Yaşar S, Asil S, Fırtına S, Yıldırım E, Amasyalı B, Köse S
J Interv Card Electrophysiol 2022 Mar;63(2):461-469. Epub 2021 Sep 2 doi: 10.1007/s10840-021-01057-0. PMID: 34476675
Unusual variants of pre-excitation: From anatomy to ablation: Part III-Clinical presentation, electrophysiologic characteristics, when and how to ablate nodoventricular, nodofascicular, fasciculoventricular pathways, along with considerations of permanent junctional reciprocating tachycardia.
Soares Correa F, Lokhandwala Y, Sánchez-Quintana D, Mori S, Anderson RH, Wellens HJJ, Back Sternick E
J Cardiovasc Electrophysiol 2019 Dec;30(12):3097-3115. Epub 2019 Nov 14 doi: 10.1111/jce.14247. PMID: 31646696
Wolff-Parkinson-White syndrome: lessons learnt and lessons remaining.
Benson DW, Cohen MI
Cardiol Young 2017 Jan;27(S1):S62-S67. doi: 10.1017/S1047951116002250. PMID: 28084962
The clinical utility of entrainment pacing.
Deo R, Berger R
J Cardiovasc Electrophysiol 2009 Apr;20(4):466-70. Epub 2009 Jan 16 doi: 10.1111/j.1540-8167.2008.01409.x. PMID: 19207769

Clinical prediction guides

Variability of the VA interval at tachycardia induction: a simple method to differentiate orthodromic reciprocating tachycardia from atypical atrioventricular nodal reentrant tachycardia.
Hadid C, Celano L, Di Toro D, Antezana-Chavez E, Gallino S, Iralde G, Calvo D, Ávila P, Atea L, Gonzalez S, Maldonado S, Labadet C
J Interv Card Electrophysiol 2023 Apr;66(3):637-645. Epub 2022 Sep 24 doi: 10.1007/s10840-022-01376-w. PMID: 36152135
Unusual variants of pre-excitation: From anatomy to ablation: Part III-Clinical presentation, electrophysiologic characteristics, when and how to ablate nodoventricular, nodofascicular, fasciculoventricular pathways, along with considerations of permanent junctional reciprocating tachycardia.
Soares Correa F, Lokhandwala Y, Sánchez-Quintana D, Mori S, Anderson RH, Wellens HJJ, Back Sternick E
J Cardiovasc Electrophysiol 2019 Dec;30(12):3097-3115. Epub 2019 Nov 14 doi: 10.1111/jce.14247. PMID: 31646696
Wolff-Parkinson-White syndrome: lessons learnt and lessons remaining.
Benson DW, Cohen MI
Cardiol Young 2017 Jan;27(S1):S62-S67. doi: 10.1017/S1047951116002250. PMID: 28084962
Permanent junctional reciprocating tachycardia in children: a multicenter experience.
Kang KT, Potts JE, Radbill AE, La Page MJ, Papagiannis J, Garnreiter JM, Kubus P, Kantoch MJ, Von Bergen NH, Fournier A, Côté JM, Paul T, Anderson CC, Cannon BC, Miyake CY, Blaufox AD, Etheridge SP, Sanatani S
Heart Rhythm 2014 Aug;11(8):1426-32. Epub 2014 Apr 24 doi: 10.1016/j.hrthm.2014.04.033. PMID: 24769425
The clinical utility of entrainment pacing.
Deo R, Berger R
J Cardiovasc Electrophysiol 2009 Apr;20(4):466-70. Epub 2009 Jan 16 doi: 10.1111/j.1540-8167.2008.01409.x. PMID: 19207769

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