ReviewJournal of arrhythmia2024
SVT quest: The adventure diagnosing narrow QRS tachycardia.
Review in Journal of arrhythmia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Clinical Characteristics and Timing of Accessory Pathway Reconduction During Catheter Ablation of Accessory Pathways.Journal of arrhythmia · 2026Article
- The Key Lies in the Mechanism Underlying the V-A-A-V Response: What Is the Mechanism of This Tachycardia?Journal of cardiovascular electrophysiology · 2026Article
- Seamless Transition Between Narrow- and Wide-QRS Tachycardia Revealing Double Tachycardia.JACC. Case reports · 2026Article
- Induction indices during ventricular pacing as an alternative diagnostic tool in supraventricular tachycardias.Heart rhythm O2 · 2026Article
- Prevalence and Structured Approach to the Diagnoses of A on V Tachycardias.Journal of arrhythmia · 2026Article
- Long RP tachycardia with fusion QRS during ventricular overdrive pacing: Diagnostic challenge of a bystander nodoventricular pathway.HeartRhythm case reports · 2026Article
- Unusual ventricular atrial conduction shift from the slow pathway to the fast pathway.Journal of cardiology cases · 2025Article
- A narrow QRS tachycardia with conflicting findings: A current pitfall of diagnostic criteria?HeartRhythm case reports · 2025Article
- Left atrial intramural hematoma following right atrial catheter ablation: A rare case involving coronary sinus injury.Journal of arrhythmia · 2025Article
- "A on V" tachycardia in a patient with diseased His bundle.Journal of arrhythmia · 2025Article
- New-onset atrioventricular nodal reentrant tachycardia after transaortic valve replacement: Is there a causal link?HeartRhythm case reports · 2025Article
- Unusual left-sided variant orientation of the slow conduction zone in adenosine-sensitive atrial tachycardia.Journal of arrhythmia · 2025Article
- Differential response to right ventricular extrastimuli from the base and apex during long RP' supraventricular tachycardia.Journal of arrhythmia · 2025Article
- The response to adenosine tells all: What is the mechanism?Journal of arrhythmia · 2024Article
- Unusual resetting of superior-type fast-slow atrioventricular nodal reentrant tachycardia with cycle length alternans by early spontaneous premature ventricular contraction.Journal of arrhythmia · 2024Article
- Editorial to "Atypical atrial resetting with ventricular extrastimulus during tachycardia: What is the mechanism?"Journal of arrhythmia · 2024Article
- SVT quest: The adventure diagnosing narrow QRS tachycardia.Journal of arrhythmia · 2024Review
- Irregular narrow QRS tachycardia: Chaos is order yet undeciphered.Indian pacing and electrophysiology journalArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In the field of cardiac electrophysiology, there is a universal desire: the discovery of a flawless diagnostic maneuver for supraventricular tachycardias (SVTs). This is not merely a wish but a shared odyssey. To improve diagnostic accuracy and achieve sufficient sensitivity and specificity, numerous diagnostic maneuvers have been proposed. However, each has its limitations and prompts a search for new diagnostic techniques. This continuous cycle of discovery and refinement, which we titled "SVT Quest" is reviewed in chronological sequence. This adventure in diagnosing narrow QRS tachycardia unfolds in 3 steps: Step 1 involves differentiating atrial tachycardia from other SVTs based on the observations such as V-A-V or V-A-A-V response, ΔAA interval, VA linking, the last entrainment sequence, and response to the atrial extrastimulus. Step 2 focuses on differentiating orthodromic reciprocating tachycardia from atrioventricular nodal reentrant tachycardia based on the observations such as tachycardia reset upon the premature ventricular contraction during His refractoriness, uncorrected/corrected postpacing interval, differential ventricular entrainment, orthodromic His capture, transition zone analysis, and total pacing prematurity. Step 3 characterizes the concealed nodoventricular/nodofascicular pathway and His-ventricular pathway-related tachycardia based on observations such as V-V-A response, ΔatrioHis interval, and paradoxical reset phenomenon. There is no single diagnostic maneuver that fits all scenarios. Therefore, the ability to apply multiple maneuvers in a case allows the operator to accumulate evidence to make a likely diagnosis. Let's embark on this adventure!
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