Peculiar Electrocardiographic Feature Accurately Localizing an Unusual Case of Permanent Junctional Reciprocating Tachycardia

Authors

  • Nikolaos Fragakis 3rd University Cardiology Department, Hippokration Hospital, Thessaloniki, Greece.
  • Panagiota Kyriakou
  • George Navrozidis 3rd University Cardiology Department, Hippokration Hospital, Thessaloniki, Greece
  • Paraschos Geleris 3rd University Cardiology Department, Hippokration Hospital, Thessaloniki, Greece

DOI:

https://doi.org/10.2015/hc.v6i3.401

Keywords:

Permanent junctional reciprocating tachycardia, Catheter ablation, long RP tachycardia, incessant tachycardia, accessory pathway

Abstract

Permanent junctional reciprocating tachycardia (PJRT) is an uncommon form of supraventricular tachycardia due to an accessory pathway with slow retrograde conduction that is mostly localized in the posteroseptal area. The standard ECG shows long RP tachycardia with negative P waves in the inferior leads and positive P waves in leads I and aVL. We report a case of PJRT in a 31-year-old lady with incessant long RP tachycardia displaying negative P waves not only in the inferior leads but also in leads I and aVL. The accessory pathway was localized in the left posteroseptal region and managed successfully with radiofrequency catheter ablation.

Author Biography

Panagiota Kyriakou

3rd University Cardiology Department, Hippokration Hospital, Thessaloniki, Greece

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Published

2011-04-25

Issue

Vol. 6 No. 3 (2011)

Section

CASE REPORTS

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