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[Paroxysmal Supraventricular tachycardia] |
Paroxysmal Supraventricular tachycardia is defined as a fast but regular heart beat, which can increase to up to 150-200 beats per minute.
Subjective symptoms include palpitation, vertigo, and breathing difficulty. The mechanisms of tachycardia are classified into three categories:
1)
Atrioventricular reentry tachycardia (WPW syndrome)
2)
Atrioventricular nodal reentry tachycardia
3)
atrial tachycardia
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1)
Atrioventricular reentry tachycardia (WPW syndrome)
Electric signals issued by the sinus node are always transmitted to the ventricles via the atrioventricular node, which is located at the center of the heart, and cause ventricular contraction; there is no other pathway for the electric signals.
However, some people have another electric pathway (i.e., an accessory conduction pathway known as the kent bundle) that is located between an atrium and a ventricle near the atrioventricular node (normal conduction pathway). This condition is known as the WPW syndrome.
Unless a patient is experiencing tachycardia, electric signals are transmitted via both pathways of the atrioventricular node: the (normal conduction pathway and the accessory conduction pathway. Therefore, patients with atrial fibrillation have an electrocardiographic waveform different from that of healthy subjects even without rapid heart beating so we can diagnose WPW syndrome.)
If one has tachycardia, on the other hand, electric signals are transmitted to the atrium down through the atrioventricular node and up through the accessory conduction pathway to the atrium, forming an electric circuit that results in tachycardia. |
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2)
Atrioventricular nodal reentry tachycardia
In some patients, the electric signals from the atrium transmit slowly to the ventricles through the atrioventricular node . In those patients who have two conduction pathways, of one way down and another way up, an electric circuiting pathway forms that results in tachycardia. |
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3)
Atrial tachycardia
Tachycardia can also be caused by a site that generates fast excitation and in an atrium besides the atrioventricular node (either the right or the left atrium).
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