{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T07:34:55Z","timestamp":1779348895832,"version":"3.51.4"},"reference-count":6,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,4,12]],"date-time":"2022-04-12T00:00:00Z","timestamp":1649721600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The surface electrocardiography\u00a0of typical atrioventricular nodal reentrant tachycardia (AVNRT) shows simultaneous ventricular\u2010atrial (RP) activation with pseudo R\u2032\u00a0in V1 and typical heart rates ranging from 150 to 220\/min. Slower rates are suspicious for junctional tachycardia (JT). However, occasionally we encounter typical AVNRT with slow ventricular rates. We describe a series of typical AVNRT cases with heart rates under 110\/min.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 1972 patients with AVNRT who underwent slow pathway ablation were analyzed. Typical AVNRT was diagnosed when; (1) evidence of dual atrioventricular nodal conduction, (2) tachycardia initiation by atrial drive train with atrial\u2010His\u2010atrial response, (3) short septal ventriculoatrial\u00a0time, and (4) ventricular\u2010atrial\u2010ventricular (V\u2010A\u2010V) response to ventricular overdrive (VOD) pacing with corrected post pacing interval\u2010tachycardia cycle length (cPPI\u2010TCL)\u2009&gt;\u2009110\u2009ms. JT was excluded by either termination or advancement of tachycardia by atrial extrastimuli (AES) or atrial overdrive (AOD) pacing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We found 11 patients (age 20\u221278 years old, six\u00a0female) who met the above\u2010mentioned criteria. The TCL ranged from 560\u00a0to 782\u2009ms. Except for one patient showing tachycardia termination, all patients demonstrated a V\u2010A\u2010V response and cPPI\u2010TCL over 110\u2009ms with VOD. AES or AOD pacing successfully excluded JT by either advancing the tachycardia in 10 patients or by tachycardia termination in one patient. Slow pathway was successfully ablated, and tachycardia was not inducible in all patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This case series describes patients with typical AVNRT with slow ventricular rate (less than 110\/min) who may mimic JT. We emphasize the importance of using pacing maneuvers to exclude JT.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.15465","type":"journal-article","created":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T11:25:07Z","timestamp":1648553107000},"page":"1177-1182","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["A case series of very slow atrioventricular nodal reentrant tachycardia resembling junctional tachycardia"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9218-1966","authenticated-orcid":false,"given":"Koji","family":"Higuchi","sequence":"first","affiliation":[{"name":"Robert and Suzanne Tomsich Department of Cardiovascular Medicine Section of Cardiac Electrophysiology and Pacing, Sydell and Arnold Miller Family Heart and Vascular Institute, Cleveland Clinic Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Higuchi","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Section of Cardiac Electrophysiology University of California\u00a0San Francisco San Francisco California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bryan","family":"Baranowski","sequence":"additional","affiliation":[{"name":"Robert and Suzanne Tomsich Department of Cardiovascular Medicine Section of Cardiac Electrophysiology and Pacing, Sydell and Arnold Miller Family Heart and Vascular Institute, Cleveland Clinic Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oussama","family":"Wazni","sequence":"additional","affiliation":[{"name":"Robert and Suzanne Tomsich Department of Cardiovascular Medicine Section of Cardiac Electrophysiology and Pacing, Sydell and Arnold Miller Family Heart and Vascular Institute, Cleveland Clinic Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melvin M.","family":"Scheinman","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Section of Cardiac Electrophysiology University of California\u00a0San Francisco San Francisco California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3983-3515","authenticated-orcid":false,"given":"Patrick","family":"Tchou","sequence":"additional","affiliation":[{"name":"Robert and Suzanne Tomsich Department of Cardiovascular Medicine Section of Cardiac Electrophysiology and Pacing, Sydell and Arnold Miller Family Heart and Vascular Institute, Cleveland Clinic Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,4,12]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.48.3.549"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199207303270504"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euaa283"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.110.936591"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2015.03.046"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2018.09.012"}],"container-title":["Journal of Cardiovascular Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jce.15465","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jce.15465","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jce.15465","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T06:47:24Z","timestamp":1692859644000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jce.15465"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,12]]},"references-count":6,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2022,6]]}},"alternative-id":["10.1111\/jce.15465"],"URL":"https:\/\/doi.org\/10.1111\/jce.15465","archive":["Portico"],"relation":{},"ISSN":["1045-3873","1540-8167"],"issn-type":[{"value":"1045-3873","type":"print"},{"value":"1540-8167","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,12]]},"assertion":[{"value":"2022-01-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-19","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-04-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}