International Journal of Heart Rhythm

CASE REPORT
Year
: 2021  |  Volume : 6  |  Issue : 2  |  Page : 90--92

A decremental response seen to a his refractory premature ventricular complex in a patient with short ventriculoatrial interval: A case report


Khalil Kanjwal1, Asim Kichloo2, Muzaffar Ali3, Abdul Qadir Haji4 
1 Department of Electrophysiology, McLaren Greater Lansing Hospital, Lansing, MI, USA
2 Department of Internal Medicine, Samaritan Medical Center, Watertown, NY, USA
3 Department of Electrophysiology, Sher-I-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India
4 Department of Electrophysiology, Walter Reed National Medical Center, Bethesda, MD, USA

Correspondence Address:
Dr. Khalil Kanjwal
Department of Electrophysiology, McLaren Greater Lansing Hospital, Lansing, MI 48901
USA

We report on a patient with supraventricular tachycardia, mediated through a left posterior concealed accessory pathway (AP). During an electrophysiology study, the His refractory premature ventricular complex (PVC) delayed in the next atrial signal and was suggestive of the decremental pathway; however, further maneuvers and tachycardia features were suggestive of a nondecremental AP. In this paper, we discuss possible mechanisms of this interesting observation of decremental response to PVC in an otherwise nondecremental AP.


How to cite this article:
Kanjwal K, Kichloo A, Ali M, Haji AQ. A decremental response seen to a his refractory premature ventricular complex in a patient with short ventriculoatrial interval: A case report.Int J Heart Rhythm 2021;6:90-92


How to cite this URL:
Kanjwal K, Kichloo A, Ali M, Haji AQ. A decremental response seen to a his refractory premature ventricular complex in a patient with short ventriculoatrial interval: A case report. Int J Heart Rhythm [serial online] 2021 [cited 2022 Jul 2 ];6:90-92
Available from: https://www.ijhronline.org/article.asp?issn=2352-4197;year=2021;volume=6;issue=2;spage=90;epage=92;aulast=Kanjwal;type=0