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Lockwood D, Nakagawa H, Jackman WM. Electrophysiologic characteristics of atrioventricular nodal reentrant tachycardia: Implications for reentrant circuits. <i>In<\/i>: Zipes DP, Jalife J, editors. Cardiac electrophysiology: From cell to bedside, 7th edn. Philadelphia: WB Saunders, 2018; 746\u2013767."},{"key":"2","doi-asserted-by":"crossref","unstructured":"2. Inoue S, Becker AE. Posterior extensions of the human compact atrioventricular node: A neglected anatomic feature of potential clinical significance. <i>Circulation<\/i> 1998; 97: 188\u2013193.","DOI":"10.1161\/01.CIR.97.2.188"},{"key":"3","doi-asserted-by":"crossref","unstructured":"3. McGuire MA, Bourke JP, Robotin MC, Johnson DC, Meldrum-Hanna W, Nunn GR, et al. High resolution mapping of Koch\u2019s triangle using sixty electrodes in humans with atrioventricular junctional (AV nodal) reentrant tachycardia. <i>Circulation<\/i> 1993; 88(5 Pt 1): 2315\u20132328.","DOI":"10.1161\/01.CIR.88.5.2315"},{"key":"4","doi-asserted-by":"crossref","unstructured":"4. Irie T, Kaneko Y, Nakajima T, Ota M, Iijima T, Tamura M, et al. Electroanatomically estimated length of slow pathway in atrioventricular nodal reentrant tachycardia. <i>Heart Vessels<\/i> 2014; 29: 817\u2013824.","DOI":"10.1007\/s00380-013-0424-0"},{"key":"5","doi-asserted-by":"crossref","unstructured":"5. Katritsis DG, John RM, Latchamsetty R, Muthalaly RG, Zografos T, Katritsis GD, et al. Left septal slow pathway ablation for atrioventricular nodal reentrant tachycardia. <i>Circ Arrhythm Electrophysiol<\/i> 2018; 11: e005907.","DOI":"10.1161\/CIRCEP.117.005907"},{"key":"6","doi-asserted-by":"crossref","unstructured":"6. Stavrakis S, Jackman WM, Lockwood D, Nakagawa H, Beckman K, Elkholey K, et al. Slow\/fast atrioventricular nodal reentrant tachycardia using the inferolateral left atrial slow pathway. <i>Circ Arrhythm Electrophysiol<\/i> 2018; 11: e006631.","DOI":"10.1161\/CIRCEP.118.006631"},{"key":"7","doi-asserted-by":"crossref","unstructured":"7. Kaneko Y, Naito S, Okishige K, Morishima I, Tobiume T, Nakajima T, et al. Atypical fast-slow atrioventricular nodal reentrant tachycardia incorporating a \u201csuperior\u201d slow pathway: A distinct supraventricular tachyarrhythmia. <i>Circulation<\/i> 2016; 133: 114\u2013123.","DOI":"10.1161\/CIRCULATIONAHA.115.018443"},{"key":"8","doi-asserted-by":"crossref","unstructured":"8. Yeh SJ, Yamamoto T, Lin FC, Wu D. Atrioventricular block in the atypical form of junctional reciprocating tachycardia: Evidence supporting the atrioventricular node as the site of reentry. <i>J Am Coll Cardiol<\/i> 1990; 15: 385\u2013392.","DOI":"10.1016\/S0735-1097(10)80067-1"},{"key":"9","doi-asserted-by":"crossref","unstructured":"9. Hirao K, Otomo K, Wang X, Beckman KJ, McClelland JH, Widman L, et al. Para-Hisian pacing. A new method for differentiating retrograde conduction over an accessory AV pathway from conduction over the AV node. <i>Circulation<\/i> 1996; 94: 1027\u20131035.","DOI":"10.1161\/01.CIR.94.5.1027"},{"key":"10","doi-asserted-by":"crossref","unstructured":"10. Nakagawa H, Jackman WM. Para-Hisian pacing: Useful clinical technique to differentiate retrograde conduction between accessory atrioventricular pathways and atrioventricular nodal pathways. <i>Heart Rhythm<\/i> 2005; 2: 667\u2013672.","DOI":"10.1016\/j.hrthm.2005.01.026"},{"key":"11","doi-asserted-by":"crossref","unstructured":"11. Sheldon SH, Li HK, Asirvatham SJ, McLeod CJ. Parahisian pacing: Technique, utility, and pitfalls. <i>J Interv Card Electrophysiol<\/i> 2014; 40: 105\u2013116.","DOI":"10.1007\/s10840-014-9908-9"},{"key":"12","doi-asserted-by":"crossref","unstructured":"12. Bennett MT, Leong-Sit P, Gula LJ, Skanes AC, Yee R, Krahn AD, et al. Entrainment for distinguishing atypical atrioventricular node reentrant tachycardia from atrioventricular reentrant tachycardia over septal accessory pathways with long-RP [corrected] tachycardia. <i>Circ Arrhythm Electrophysiol<\/i> 2011; 4: 506\u2013509.","DOI":"10.1161\/CIRCEP.111.961987"},{"key":"13","doi-asserted-by":"crossref","unstructured":"13. AlMahameed ST, Buxton AE, Michaud GF. New criteria during right ventricular pacing to determine the mechanism of supraventricular tachycardia. <i>Circ Arrhythm Electrophysiol<\/i> 2010; 3: 578\u2013584.","DOI":"10.1161\/CIRCEP.109.931311"},{"key":"14","doi-asserted-by":"crossref","unstructured":"14. Dandamudi G, Mokabberi R, Assal C, Das MK, Oren J, Storm R, et al. A novel approach to differentiating orthodromic reciprocating tachycardia from atrioventricular nodal reentrant tachycardia. <i>Heart Rhythm<\/i> 2010; 7: 1326\u20131329.","DOI":"10.1016\/j.hrthm.2010.05.033"},{"key":"15","doi-asserted-by":"crossref","unstructured":"15. Ho RT, Frisch DR, Pavri BB, Levi SA, Greenspon AJ. Electrophysiological features differentiating the atypical atrioventricular node-dependent long RP supraventricular tachycardias. <i>Circ Arrhythm Electrophysiol<\/i> 2013; 6: 597\u2013605.","DOI":"10.1161\/CIRCEP.113.000187"},{"key":"16","doi-asserted-by":"crossref","unstructured":"16. Gaita F, Haissaguerre M, Giustetto C, Fischer B, Riccardi R, Richiardi E, et al. Catheter ablation of permanent junctional reciprocating tachycardia with radiofrequency current. <i>J Am Coll Cardiol<\/i> 1995; 25: 648\u2013654.","DOI":"10.1016\/0735-1097(94)00455-Y"},{"key":"17","doi-asserted-by":"crossref","unstructured":"17. Ticho BS, Saul JP, Hulse JE, De W, Lulu J, Walsh EP. Variable location of accessory pathways associated with the permanent form of junctional reciprocating tachycardia and confirmation with radiofrequency ablation. <i>Am J Cardiol<\/i> 1992; 70: 1559\u20131564.","DOI":"10.1016\/0002-9149(92)90457-A"},{"key":"18","doi-asserted-by":"crossref","unstructured":"18. Meiltz A, Weber R, Halimi F, Defaye P, Boveda S, Tavernier R, et al. Permanent form of junctional reciprocating tachycardia in adults: Peculiar features and results of radiofrequency catheter ablation. <i>Europace<\/i> 2006; 8: 21\u201328.","DOI":"10.1093\/europace\/euj007"},{"key":"19","doi-asserted-by":"crossref","unstructured":"19. Kang KT, Potts JE, Radbill AE, La Page MJ, Papagiannis J, Garnreiter JM, et al. Permanent junctional reciprocating tachycardia in children: A multicenter experience. <i>Heart Rhythm<\/i> 2014; 11: 1426\u20131432.","DOI":"10.1016\/j.hrthm.2014.04.033"},{"key":"20","doi-asserted-by":"crossref","unstructured":"20. Dubin AM, Desai K, Van Hare GF. Reentrant tachycardia using two discrete atrioventricular nodes and a concealed atriofascicular pathway. <i>Pediatr Cardiol<\/i> 2001; 22: 400\u2013402.","DOI":"10.1007\/s002460010260"},{"key":"21","doi-asserted-by":"crossref","unstructured":"21. Knight BP, Zivin A, Souza J, Flemming M, Pelosi F, Goyal R, et al. A technique for the rapid diagnosis of atrial tachycardia in the electrophysiology laboratory. <i>J Am Coll Cardiol<\/i> 1999; 33: 775\u2013781.","DOI":"10.1016\/S0735-1097(98)00614-7"},{"key":"22","unstructured":"22. Nakagawa K, Asakawa T, Yamada R, Sugawara C, Mochida T, Matsumura K, et al. A case of atypical fast-slow atrioventricular nodal reentrant tachycardia: Electrophysiological characteristics and catheter ablation. <i>J Jpn Soc Clin Card Electrophysiol<\/i> 2018; 41: 259\u2013266."},{"key":"23","doi-asserted-by":"crossref","unstructured":"23. Yamabe H, Tanaka Y, Okumura K, Morikami Y, Kimura Y, Hokamura Y, et al. Electrophysiologic characteristics of verapamil-sensitive atrial tachycardia originating from the atrioventricular annulus. <i>Am J Cardiol<\/i> 2005; 95: 1425\u20131430.","DOI":"10.1016\/j.amjcard.2005.02.007"},{"key":"24","doi-asserted-by":"crossref","unstructured":"24. Kistler PM, Roberts-Thomson KC, Haqqani HM, Fynn SP, Singarayar S, Vohra JK, et al. P-wave morphology in focal atrial tachycardia: Development of an algorithm to predict the anatomic site of origin. <i>J Am Coll Cardiol<\/i> 2006; 48: 1010\u20131017.","DOI":"10.1016\/j.jacc.2006.03.058"},{"key":"25","doi-asserted-by":"crossref","unstructured":"25. Yamabe H, Okumura K, Koyama J, Kanazawa H, Hoshiyama T, Ogawa H. Demonstration of anatomic reentrant circuit in verapamil-sensitive atrial tachycardia originating from the atrioventricular annulus other than the vicinity of the atrioventricular node. <i>Am J Cardiol<\/i> 2014; 113: 1822\u20131828.","DOI":"10.1016\/j.amjcard.2014.03.011"},{"key":"26","doi-asserted-by":"crossref","unstructured":"26. Yu WC, Chen SA, Tai CT, Lee SH, Chiang CE, Wen ZC, et al. Electrophysiologic characteristics and radiofrequency catheter ablation of fast-slow form atrioventricular nodal reentrant tachycardia. <i>Am J Cardiol<\/i> 1997; 79: 683\u2013686.","DOI":"10.1016\/S0002-9149(96)00843-0"},{"key":"27","doi-asserted-by":"crossref","unstructured":"27. Lee KL, Chun HM, Liem LB, Lauer MR, Young C, Sung RJ. Multiple atrioventricular nodal pathways in humans: Electrophysiologic demonstration and characterization. <i>J Cardiovasc Electrophysiol<\/i> 1998; 9: 129\u2013140.","DOI":"10.1111\/j.1540-8167.1998.tb00894.x"},{"key":"28","doi-asserted-by":"crossref","unstructured":"28. Yamabe H, Shimasaki Y, Honda O, Kimura Y, Hokamura Y. Demonstration of the exact anatomic tachycardia circuit in the fast-slow form of atrioventricular nodal reentrant tachycardia. <i>Circulation<\/i> 2001; 104: 1268\u20131273.","DOI":"10.1161\/hc3601.096995"},{"key":"29","doi-asserted-by":"crossref","unstructured":"29. Saoudi N, Cos\u00edo F, Waldo A, Chen SA, Iesaka Y, Lesh M, et al. A classification of atrial flutter and regular atrial tachycardia according to electrophysiological mechanisms and anatomical bases; a Statement from a Joint Expert Group from The Working Group of Arrhythmias of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. <i>Eur Heart J<\/i> 2001; 22: 1162\u20131182.","DOI":"10.1053\/euhj.2001.2658"},{"key":"30","doi-asserted-by":"crossref","unstructured":"30. Jackman WM, Beckman KJ, McClelland JH, Wang X, Friday KJ, Roman CA, et al. Treatment of supraventricular tachycardia due to atrioventricular nodal reentry by radiofrequency catheter ablation of slow-pathway conduction. <i>N Engl J Med<\/i> 1992; 327: 313\u2013318.","DOI":"10.1056\/NEJM199207303270504"},{"key":"31","doi-asserted-by":"crossref","unstructured":"31. Haissaguerre M, Gaita F, Fischer B, Commenges D, Montserrat P, d\u2019Ivernois C, et al. Elimination of atrioventricular nodal reentrant tachycardia using discrete slow potentials to guide application of radiofrequency energy. <i>Circulation<\/i> 1992; 85: 2162\u20132175.","DOI":"10.1161\/01.CIR.85.6.2162"},{"key":"32","doi-asserted-by":"crossref","unstructured":"32. Boyle NG, Anselme F, Monahan K, Papageorgiou P, Zardini M, Zebede J, et al. Origin of junctional rhythm during radiofrequency ablation of atrioventricular nodal reentrant tachycardia in patients without structural heart disease. <i>Am J Cardiol<\/i> 1997; 80: 575\u2013580.","DOI":"10.1016\/S0002-9149(97)00424-4"},{"key":"33","doi-asserted-by":"crossref","unstructured":"33. Anderson RH, Taylor IM. Development of atrioventricular specialized tissue in human heart. <i>Br Heart J<\/i> 1972; 34: 1205\u20131214.","DOI":"10.1136\/hrt.34.12.1205"},{"key":"34","doi-asserted-by":"crossref","unstructured":"34. McGuire MA, de Bakker JM, Vermeulen JT, Moorman AF, Loh P, Thibault B, et al. Atrioventricular junctional tissue: Discrepancy between histological and electrophysiological characteristics. <i>Circulation<\/i> 1996; 94: 571\u2013577.","DOI":"10.1161\/01.CIR.94.3.571"},{"key":"35","unstructured":"35. Anderson RH. The disposition and innervation of atrioventricular ring specialized tissue in rats and rabbits. <i>J Anat<\/i> 1972; 113(Pt 2): 197\u2013211."},{"key":"36","doi-asserted-by":"crossref","unstructured":"36. Yanni J, Boyett MR, Anderson RH, Dobrzynski H. The extent of the specialized atrioventricular ring tissues. <i>Heart Rhythm<\/i> 2009; 6: 672\u2013680.","DOI":"10.1016\/j.hrthm.2009.01.021"},{"key":"37","doi-asserted-by":"crossref","unstructured":"37. Atkinson AJ, Logantha SJ, Hao G, Yanni J, Fedorenko O, Sinha A, et al. Functional, anatomical, and molecular investigation of the cardiac conduction system and arrhythmogenic atrioventricular ring tissue in the rat heart. <i>J Am Heart Assoc<\/i> 2013; 2: e000246.","DOI":"10.1161\/JAHA.113.000246"},{"key":"38","doi-asserted-by":"crossref","unstructured":"38. Aanhaanen WT, Mommersteeg MT, Norden J, Wakker V, de Gier-de Vries C, Anderson RH, et al. Developmental origin, growth, and three-dimensional architecture of the atrioventricular conduction axis of the mouse heart. <i>Circ Res<\/i> 2010; 107: 728\u2013736.","DOI":"10.1161\/CIRCRESAHA.110.222992"},{"key":"39","doi-asserted-by":"crossref","unstructured":"39. Sizarov A, Ya J, de Boer BA, Lamers WH, Christoffels VM, Moorman AF. Formation of the building plan of the human heart: Morphogenesis, growth, and differentiation. <i>Circulation<\/i> 2011; 123: 1125\u20131135.","DOI":"10.1161\/CIRCULATIONAHA.110.980607"},{"key":"40","doi-asserted-by":"crossref","unstructured":"40. van Weerd JH, Christoffels VM. 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