Tachycardia‑induced cardiomyopathy due to dual atrioventricular nodal non‑reentrant tachycardia (RCDD code: VI‑1A‑9)
1
Danylo Halytsky Lviv National Medical University, Lviv, Ukraine
2
Lviv Regional Clinical Medical and Diagnostic Cardiology Center, Lviv, Ukraine;
3
National M.M. Amosov
Institute of Cardiovascular Surgery, National Academy of the Medical Sciences of Ukraine, Kyiv, Ukraine
4
Shupyk National Medical Academy of Postgraduate Education, Kyiv,
Ukraine
Received: 2019-09-16
Revised: 2019-10-03
Accepted: 2019-12-10
Published: 2019-12-25
Dual atrioventricular nodal non‑reentrant tachycardia (DAVNNT) is a rarely diagnosed, sustained supraventricular arrhythmia. We report the case of a 39‑year‑old female with drug‑resistant, irregular, narrow QRS complex tachycardia which gradually led to tachycardia‑in duced cardiomyopathy. Previously, this arrhythmia was recognized as atrial fibrillation, with several unsuccessful attempts at pulmonary vein isolation. Only after the correct diagnosis of DAVNNT was established, successful radiofrequency ablation of the slow pathway in the atrioventricular node was performed, with complete cure of the arrhythmia
echocardiography, drug resistant arrhythmia, atrial fibrillation, electrophysiology study, ablation, rare disease