Narrow complex tachycardia with discordant 12-lead RP intervals

Thabo Mahendiran; Patrizio Pascale

doi:10.1016/j.jelectrocard.2022.03.004

Narrow complex tachycardia with discordant 12-lead RP intervals

J Electrocardiol. 2022 May-Jun:72:79-81. doi: 10.1016/j.jelectrocard.2022.03.004. Epub 2022 Mar 24.

Authors

Thabo Mahendiran¹, Patrizio Pascale²

Affiliations

¹ Department of Cardiology, Lausanne University Hospital, Lausanne, Switzerland. Electronic address: thabo.mahendiran@doctors.org.uk.
² Department of Cardiology, Lausanne University Hospital, Lausanne, Switzerland.

PMID: 35366591
DOI: 10.1016/j.jelectrocard.2022.03.004

Abstract

We present a case of supraventricular tachycardia (SVT) with discordant RP intervals on 12‑lead ECG, rendering the diagnosis initially challenging. However, clues present on the ECG during SVT along with an ECG in sinus rhythm helped to elucidate the mechanism and the underlying diagnosis.

Keywords: AVRNT; Bayés syndrome; Interatrial block; Supraventricular tachycardia.

Publication types

Case Reports

MeSH terms

Diagnosis, Differential
Electrocardiography*
Humans
Tachycardia / diagnosis
Tachycardia, Supraventricular* / diagnosis