{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T04:48:36Z","timestamp":1781153316805,"version":"3.54.1"},"reference-count":61,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2011,9,25]],"date-time":"2011-09-25T00:00:00Z","timestamp":1316908800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2011,12]]},"abstract":"<jats:p><jats:bold>\n            <jats:italic>Background:<\/jats:italic>\n          <\/jats:bold>\u2002<jats:italic>Dual atrioventricular nodal nonreentrant tachycardia (DAVNNT) is a relatively uncommon supraventricular tachycardia. The clinical characteristics and optimal management strategies are not well described.<\/jats:italic><\/jats:p><jats:p><jats:bold>\n            <jats:italic>Methods:<\/jats:italic>\n          <\/jats:bold>\u2002<jats:italic>A systematic review of all reported cases of DAVNNT was performed. Articles were included if they described spontaneous tachycardias resulting from 1:2 atrioventricular (AV) conduction as a result of two AV nodal pathways. Data sources included PubMed from 1950 to January 2011, article bibliographies, and the Google internet search engine.<\/jats:italic><\/jats:p><jats:p><jats:bold>\n            <jats:italic>Results:<\/jats:italic>\n          <\/jats:bold>\u2002<jats:italic>Ultimately, 44 citations that reported 49 cases met inclusion criteria. DAVNNT is being reported with increasing frequency. Clinical characteristics were assessed using the 44 cases reported in the English language. Palpitations were the most common presenting symptom (89%). The majority of patients had a significant delay until the correct diagnosis was made (77%). The most common specific mistaken diagnosis was atrial fibrillation (32%) and five patients were diagnosed after referral for pulmonary vein isolation. Nine reports described association with a tachycardia\u2010mediated cardiomyopathy. Catheter ablation has successfully treated all reported cases since 1994.<\/jats:italic><\/jats:p><jats:p><jats:bold>\n            <jats:italic>Conclusions:<\/jats:italic>\n          <\/jats:bold>\u2002<jats:italic>DAVNNT is an uncommon arrhythmia being reported with increasing frequency. It is commonly mistaken for atrial fibrillation and is associated with a reversible tachycardia\u2010mediated cardiomyopathy. Catheter ablation of the slow AV nodal pathway is curative and appears to be the therapy of choice, although more systematic study is required. (PACE 2011; 34:1671\u20131681)<\/jats:italic><\/jats:p>","DOI":"10.1111\/j.1540-8159.2011.03218.x","type":"journal-article","created":{"date-parts":[[2011,9,27]],"date-time":"2011-09-27T23:49:29Z","timestamp":1317167369000},"page":"1671-1681","source":"Crossref","is-referenced-by-count":73,"title":["Dual Atrioventricular Nodal Nonreentrant Tachycardia: A Systematic Review"],"prefix":"10.1111","volume":"34","author":[{"given":"NORMAN C.","family":"WANG","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,9,25]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.103.22.2660"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.48.3.549"},{"key":"e_1_2_6_4_2","first-page":"459","article-title":"New manifestations of dual A\u2010V nodal pathways","volume":"2","author":"Wu D","year":"1975","journal-title":"Eur J Cardiol"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2003.08.013"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(79)90371-0"},{"key":"e_1_2_6_7_2","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1093\/oxfordjournals.eurheartj.a061277","article-title":"Double ventricular response in dual AV nodal pathways mimicking supraventricular as well as ventricular tachycardia","volume":"3","author":"Neuss H","year":"1982","journal-title":"Eur Heart J"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(83)80151-9"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(85)90428-4"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.1985.tb05755.x"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(87)80032-3"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/0167-5273(90)90036-5"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.1991.tb01308.x"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.1994.tb01479.x"},{"key":"e_1_2_6_15_2","first-page":"1651","article-title":"Supraventricular tachycardia due to simultaneous conduction in a rapid and slow conduction pathway: Treatment of ablation of the slow pathway","volume":"88","author":"Goutner C","year":"1995","journal-title":"Arch Mal C\u0153ur"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.1996.tb04800.x"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-0736(96)80126-9"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1023\/A:1009715517966"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.1998.tb00894.x"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.1998.tb00163.x"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-0736(99)90005-5"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.1999.tb00639.x"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.1999.tb06824.x"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.1999.tb00228.x"},{"key":"e_1_2_6_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s003920070153"},{"key":"e_1_2_6_26_2","doi-asserted-by":"publisher","DOI":"10.1054\/jelc.2001.22036"},{"key":"e_1_2_6_27_2","first-page":"281","article-title":"Double atrioventricular conduction during sinus rhythm","volume":"69","author":"Labadet C","year":"2001","journal-title":"Rev Argent Cardiol."},{"key":"e_1_2_6_28_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1540-8167.2003.02378.x"},{"key":"e_1_2_6_29_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1540-8167.2003.02527.x"},{"key":"e_1_2_6_30_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2004.00476.x"},{"key":"e_1_2_6_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2005.01.025"},{"key":"e_1_2_6_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2005.05.010"},{"issue":"3","key":"e_1_2_6_33_2","article-title":"Successful radiofrequency catheter ablation of nonreentrant supraventricular tachycardia due to simultaneous conduction through dual atrioventricular nodal pathways","volume":"7","author":"Otsuka T","year":"2005","journal-title":"Europace"},{"key":"e_1_2_6_34_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2006.00410.x"},{"key":"e_1_2_6_35_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2007.00684.x"},{"key":"e_1_2_6_36_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2007.00784.x"},{"issue":"2","key":"e_1_2_6_37_2","first-page":"129","article-title":"Narrow complex tachycardia with alternating R\u2010R intervals during physical stress: Double ventricular excitation","volume":"8","author":"Laszlo R","year":"2008","journal-title":"Indian Pacing Electrophysiol J"},{"key":"e_1_2_6_38_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2008.01081.x"},{"key":"e_1_2_6_39_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2007.05.016"},{"key":"e_1_2_6_40_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2008.01382.x"},{"key":"e_1_2_6_41_2","first-page":"77","article-title":"Tachycardia caused by a double fire \u2013 simultaneous double atrioventricular nodal conduction: A rare or underdiagnosed arrhythmia? Spectrum of electrocardiographic pictures in three patients","volume":"67","author":"Jastrzebski M","year":"2009","journal-title":"Kardiol Pol"},{"key":"e_1_2_6_42_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2008.08.004"},{"key":"e_1_2_6_43_2","doi-asserted-by":"publisher","DOI":"10.7205\/MILMED-D-00-5809"},{"key":"e_1_2_6_44_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jelectrocard.2008.07.015"},{"key":"e_1_2_6_45_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2009.07.008"},{"key":"e_1_2_6_46_2","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eup316"},{"key":"e_1_2_6_47_2","article-title":"Nonreentrant supraventricular tachycardia misdiagnosed as inappropriate sinus tachycardia","author":"Bhatt AG","journal-title":"Pacing Clin Electrophysiol"},{"key":"e_1_2_6_48_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccep.2010.01.004"},{"key":"e_1_2_6_49_2","article-title":"Isoproterenol facilitation of slow pathway ablation in incessant dual atrioventricular nodal nonreentrant tachycardia","author":"Wang NC","journal-title":"Pacing Clin Electrophysiol"},{"key":"e_1_2_6_50_2","first-page":"180","article-title":"Double\u2010response tachycardias and unusual PR relationships with dual AV\u2010nodal conduction","volume":"74","author":"Buss J","year":"1985","journal-title":"Z Kardiol"},{"key":"e_1_2_6_51_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccep.2010.02.006"},{"key":"e_1_2_6_52_2","first-page":"352","article-title":"Dual atrioventricular\u2010nodal physiology, elicited by pacing and leading to a reversible cardiomyopathy","volume":"36","author":"Catanzaro JN","year":"2009","journal-title":"Tex Heart Inst J"},{"key":"e_1_2_6_53_2","doi-asserted-by":"publisher","DOI":"10.3889\/MJMS.1857-5773.2008.0018"},{"key":"e_1_2_6_54_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(97)00011-9"},{"key":"e_1_2_6_55_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2008.01193_1.x"},{"key":"e_1_2_6_56_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2008.10.017"},{"key":"e_1_2_6_57_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.98.1.47"},{"key":"e_1_2_6_58_2","doi-asserted-by":"publisher","DOI":"10.1253\/jcj.65.937"},{"key":"e_1_2_6_59_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2010.02763.x"},{"key":"e_1_2_6_60_2","doi-asserted-by":"publisher","DOI":"10.1023\/A:1021144610712"},{"key":"e_1_2_6_61_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2000.tb00891.x"},{"key":"e_1_2_6_62_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.110.970350"}],"container-title":["Pacing and Clinical Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1540-8159.2011.03218.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1540-8159.2011.03218.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T08:01:57Z","timestamp":1698739317000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1540-8159.2011.03218.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,9,25]]},"references-count":61,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2011,12]]}},"alternative-id":["10.1111\/j.1540-8159.2011.03218.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1540-8159.2011.03218.x","archive":["Portico"],"relation":{},"ISSN":["0147-8389","1540-8159"],"issn-type":[{"value":"0147-8389","type":"print"},{"value":"1540-8159","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,9,25]]}}}