Diagnostic Pacing Maneuvers for Supraventricular Tachycardia: Part 1

This two‐part manuscript reviews diagnostic pacing maneuvers for supraventricular tachycardia (SVT). Part one will involve a detailed consideration of ventricular overdrive pacing (VOP), since this pacing maneuver provides the diagnosis in the majority of cases. This will include a review of the pos...

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Published in:Pacing and clinical electrophysiology 2011-06, Vol.34 (6), p.767-782
Main Authors: VEENHUYZEN, GEORGE D., QUINN, F. RUSSELL, WILTON, STEPHEN B., CLEGG, ROBIN, MITCHELL, L. BRENT
Format: Article
Language:English
Subjects:
ablation
Biological and medical sciences
Cardiac dysrhythmias
Cardiac Pacing, Artificial - methods
Cardiology. Vascular system
Electrodiagnosis - methods
electrophysiology-clinical
Heart
Humans
Medical sciences
pacing
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
svt
Tachycardia, Supraventricular - diagnosis
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Summary:This two‐part manuscript reviews diagnostic pacing maneuvers for supraventricular tachycardia (SVT). Part one will involve a detailed consideration of ventricular overdrive pacing (VOP), since this pacing maneuver provides the diagnosis in the majority of cases. This will include a review of the post‐VOP response, fusion during entrainment, the importance of the VOP site, quantitative results of entrainment such as the postpacing interval, differential entrainment, and new criteria derived from features found at the beginning of the VOP train. There is a considerable literature on this topic, and this review is by no means meant to be all‐encompassing. Rather, we hope to clearly explain and illustrate the physiology, strengths, and weaknesses of what we consider to be the most important and commonly employed diagnostic pacing maneuvers, that is, those that trainees in cardiac electrophysiology should be well familiar with at a minimum. (PACE 2011; 767–782)
ISSN:0147-8389
1540-8159
DOI:10.1111/j.1540-8159.2011.03076.x