A new criterion to differentiate atrioventricular nodal reentrant tachycardia from atrioventricular reciprocating tachycardia: Combined AVR criterion

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dc.authoridKOCA, HASAN/0000-0002-6232-4567
dc.authoridDemirtas, Abdullah Orhan/0000-0003-4768-0536
dc.authoridUnal, Ilker/0000-0002-9485-3295
dc.contributor.authorDemirtas, Abdullah Orhan
dc.contributor.authorIcen, Yahya Kemal
dc.contributor.authorKaypakli, Onur
dc.contributor.authorKoca, Hasan
dc.contributor.authorUnal, Ilker
dc.contributor.authorKoseoglu, Zikret
dc.contributor.authorSahin, Durmus Yildiray
dc.date.accessioned2024-09-18T20:59:11Z
dc.date.available2024-09-18T20:59:11Z
dc.date.issued2018
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractAim: A combined aVR criterion is described as the presence of a pseudo r' wave in aVR during tachycardia in patients without r' wave in aVR in sinus rhythm and/or a >= 50% increase in r' wave amplitude compared to sinus rhythm in patients with r' wave in the basal aVR lead. We aimed to investigate the use of combined aVR criterion in differential diagnosis of atrioventricular nodal reentrant tachycardia (AVNRT) and atrioventricular reciprocating tachycardia (AVRT). Methods: In this prospective study, 480 patients with inducible narrow QRS supraventricular tachycardia (SVT) were included. Twelve-lead electrocardiogram (ECG) was conducted during tachycardia and sinus rhythm. The patients were divided into two groups according to the arrhythmia mechanism that determined via EPS, AVNRT, and AVRT. Criteria of narrow QRS complex tachycardia were compared between the two groups. Results: AVNRT was present in 370 (77%) patients and AVRT in 110 (23%) patients. Combined aVR criterion was found to be more frequent in patients with AVNRT (84.1% and 9.1%, p < 0.001). In logistic regression analysis, combined aVR criterion and classical ECG criterion were found to be the most important predictors of AVNRT (p < 0.001). The sensitivity, specificity, positive predictive value, and negative predictive value of the combined aVR criterion for AVNRT were 84.1%, 90.9%, 96.9%, and 62.9%, respectively. Conclusion: In the differential diagnosis of patients with SVT, the combined aVR criterion identifies the presence of AVNRT with an independent and acceptable diagnostic value. In addition to classical ECG criteria for AVNRT, it is necessary to evaluate the combined aVR criterion in daily practice. (C) 2018 Elsevier Inc. All rights reserved.en_US
dc.identifier.doi10.1016/j.jelectrocard.2018.08.027
dc.identifier.endpage1051en_US
dc.identifier.issn0022-0736
dc.identifier.issn1532-8430
dc.identifier.issue6en_US
dc.identifier.pmid30497728en_US
dc.identifier.scopus2-s2.0-85052727769en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage1045en_US
dc.identifier.urihttps://doi.org/10.1016/j.jelectrocard.2018.08.027
dc.identifier.urihttps://hdl.handle.net/20.500.12483/12440
dc.identifier.volume51en_US
dc.identifier.wosWOS:000454673900026en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherChurchill Livingstone Inc Medical Publishersen_US
dc.relation.ispartofJournal of Electrocardiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectSupraventricular tachycardiaen_US
dc.subjectaVR derivationen_US
dc.subjectPseudo r ' waveen_US
dc.subjectR ' wave amplitude increaseen_US
dc.titleA new criterion to differentiate atrioventricular nodal reentrant tachycardia from atrioventricular reciprocating tachycardia: Combined AVR criterionen_US
dc.typeArticleen_US

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