{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,21]],"date-time":"2025-09-21T18:32:13Z","timestamp":1758479533464},"reference-count":0,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circulation"],"published-print":{"date-parts":[[1969,12]]},"abstract":"<jats:p>This report documents the use of right ventricular stimulation in the termination of a rapid junctional tachycardia. The tachycardia developed in the background setting of heart block and bradycardia. Right ventricular stimulation was effective at 94\/min, a rate considerably slower than that of the tachycardia. Analysis of pacemaker stimuli during the tachycardia defined ventricular refractory and excitable periods. Within the ventricular excitable period there was a critical time interval during which stimulation produced premature ventricular depolarization and abrupt termination of the tachycardia. These findings support the hypothesis that junctional tachycardias in the absence of the Wolf-Parkinson-White syndrome may be sustained by reentry mechanisms. Moreover, right ventricular stimulation may be a valuable therapeutic adjunct in the treatment of such tachycardias.<\/jats:p>","DOI":"10.1161\/01.cir.40.6.919","type":"journal-article","created":{"date-parts":[[2012,6,11]],"date-time":"2012-06-11T23:27:25Z","timestamp":1339457245000},"page":"919-926","update-policy":"http:\/\/dx.doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":22,"title":["Termination of Paroxysmal Junctional Tachycardia by Right Ventricular Stimulation"],"prefix":"10.1161","volume":"40","author":[{"given":"HOWARD J.","family":"ZEFT","sequence":"first","affiliation":[{"name":"From the Division of Cardiology, Department of Medicine, Duke University Medical Center, and the Durham Veterans Administration Hospital, Durham, North Carolina."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"LT. COL.","given":"RONALD L.","family":"MCGOWAN","sequence":"additional","affiliation":[{"name":"From the Division of Cardiology, Department of Medicine, Duke University Medical Center, and the Durham Veterans Administration Hospital, Durham, North Carolina."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","container-title":["Circulation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/pdf\/10.1161\/01.CIR.40.6.919","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,12]],"date-time":"2024-05-12T14:16:57Z","timestamp":1715523417000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/01.CIR.40.6.919"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1969,12]]},"references-count":0,"journal-issue":{"issue":"6","published-print":{"date-parts":[[1969,12]]}},"alternative-id":["10.1161\/01.CIR.40.6.919"],"URL":"https:\/\/doi.org\/10.1161\/01.cir.40.6.919","relation":{},"ISSN":["0009-7322","1524-4539"],"issn-type":[{"value":"0009-7322","type":"print"},{"value":"1524-4539","type":"electronic"}],"subject":[],"published":{"date-parts":[[1969,12]]},"assertion":[{"value":"1969-12-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}