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Coumel's sign reversed: What is the mechanism?

A patient presented with documented narrow QRS tachycardia. During electrophysiological study, he has orthodromic reciprocating tachycardia with atrial activation consistent with left free wall accessory pathway. With induction of tachycardia, beats with LBBB morphology have shorter cycle length tha...

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Detalles Bibliográficos
Autores principales: Bootla, Dinakar, Jain, Ashish, Mittal, Gaurav kumar, Selvaraj, Raja J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8981158/
https://www.ncbi.nlm.nih.gov/pubmed/34826604
http://dx.doi.org/10.1016/j.ipej.2021.11.007
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author Bootla, Dinakar
Jain, Ashish
Mittal, Gaurav kumar
Selvaraj, Raja J.
author_facet Bootla, Dinakar
Jain, Ashish
Mittal, Gaurav kumar
Selvaraj, Raja J.
author_sort Bootla, Dinakar
collection PubMed
description A patient presented with documented narrow QRS tachycardia. During electrophysiological study, he has orthodromic reciprocating tachycardia with atrial activation consistent with left free wall accessory pathway. With induction of tachycardia, beats with LBBB morphology have shorter cycle length than those with narrow QRS. What is the mechanism?
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spelling pubmed-89811582022-04-06 Coumel's sign reversed: What is the mechanism? Bootla, Dinakar Jain, Ashish Mittal, Gaurav kumar Selvaraj, Raja J. Indian Pacing Electrophysiol J EP / Device Round A patient presented with documented narrow QRS tachycardia. During electrophysiological study, he has orthodromic reciprocating tachycardia with atrial activation consistent with left free wall accessory pathway. With induction of tachycardia, beats with LBBB morphology have shorter cycle length than those with narrow QRS. What is the mechanism? Elsevier 2021-11-24 /pmc/articles/PMC8981158/ /pubmed/34826604 http://dx.doi.org/10.1016/j.ipej.2021.11.007 Text en © 2022 Indian Heart Rhythm Society. Published by Elsevier B.V. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle EP / Device Round
Bootla, Dinakar
Jain, Ashish
Mittal, Gaurav kumar
Selvaraj, Raja J.
Coumel's sign reversed: What is the mechanism?
title Coumel's sign reversed: What is the mechanism?
title_full Coumel's sign reversed: What is the mechanism?
title_fullStr Coumel's sign reversed: What is the mechanism?
title_full_unstemmed Coumel's sign reversed: What is the mechanism?
title_short Coumel's sign reversed: What is the mechanism?
title_sort coumel's sign reversed: what is the mechanism?
topic EP / Device Round
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8981158/
https://www.ncbi.nlm.nih.gov/pubmed/34826604
http://dx.doi.org/10.1016/j.ipej.2021.11.007
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