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Chapter-15 Supraventricular Tachycardias: Ventricular Pacing Maneuvers

BOOK TITLE: Practical Cardiac Electrophysiology

Author
1. Munro Jeffrey
2. Sorajja Dan
3. Shen Win-Kuang
ISBN
9789386056795
DOI
10.5005/jp/books/13028_16
Edition
1/e
Publishing Year
2017
Pages
18
Author Affiliations
1. Mayo Clinic, Phoenix, AZ, USA
2. Mayo Clinic, Phoenix, AZ, USA
3. Mayo Clinic College of Medicine; Mayo Clinic, Phoenix, AZ, USA
Chapter keywords
Supraventricular tachycardia, ventricular pacing maneuver, Para-Hisian pacing, delta VA interval, AVNRT, AVRT

Abstract

This chapter discusses the supraventricular tachycardias: ventricular pacing maneuvers. Ventricular pacing maneuvers are often performed from the right ventricular apex as this is usually a stable position for the catheter, but diagnostic limitations of this location could warrant positioning the catheter at the basal portion of the ventricle. Specifically, when identifying a retrograde. His-bundle potential, pacing at the ventricular apex often results in a ventricular electrogram on the His catheter and a retrograde His-bundle potential that is concurrent with the ventricular portion of the electrogram, making its identification challenging. Differential right ventricular pacing, VA conduction, Para-Hisian pacing, delta VA interval, delta HA interval are the various ventricular pacing maneuvers during sinus rhythm. Ventricular pacing maneuvers during tachycardia are also provided in this chapter.

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