Abstract

An 80-year-old man underwent an electrophysiologic procedure because of recurrent episodes of supraventricular tachycardia. Episodes of nonsustained narrow QRS complex tachycardia occurred spontaneously after catheter placement. Examples of the onset and termination of an episode of tachycardia are shown in Figures 1 and 2, respectively. What is the mechanism of the tachycardia? What is the level of AV block?

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