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Atrioventricular Nodal Reentrant Tachycardia (AVNRT): Mechanism & Management 🔹 Primary Mechanism & Ablation Target AVNRT is a macro-reentrant supraventricular tachycardia dependent on dual atrioventricular (AV) nodal physiology. The typical (slow-fast) circuit uses the slow pathway for antegrade conduction and the fast pathway for retrograde conduction. Catheter ablation targeting the slow pathway is the definitive therapy. The standard anatomical target is the right inferior nodal extension wi
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FacebookAbdallah Othman
Atrioventricular reentrant tachycardia. Atrioventricular Re-entry Tachycardia (AVRT) is a type of paroxysmal supraventricular tachycardia (PSVT) caused by accessory pathways. It involves a re-entry circuit between the AV node and the accessory pathway. There are two types: orthodromic AVRT (narrow complex rhythm) and antidromic AVRT (wide complex rhythm). Coumel’s sign helps differentiate between orthodromic AVRT and AVNRT. In typical AVNRT, retrograde P waves occur early, while in AVRT, they oc
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