Dual AV Nodal Nonreentrant Tachycardia Resulting in Inappropriate ICD Therapy in a Patient with Cardiac Sarcoidosis

Ankur A Karnik; Khashayar Hematpour; Advay G Bhatt; Michael J Mazzini

doi:10.1016/s0972-6292(16)30715-x

Dual AV Nodal Nonreentrant Tachycardia Resulting in Inappropriate ICD Therapy in a Patient with Cardiac Sarcoidosis

Indian Pacing Electrophysiol J. 2014 Jan 1;14(1):44-8. doi: 10.1016/s0972-6292(16)30715-x. eCollection 2014 Jan.

Authors

Ankur A Karnik¹, Khashayar Hematpour¹, Advay G Bhatt¹, Michael J Mazzini¹

Affiliation

¹ Boston University School of Medicine Cardiology Section, Arrhythmia Service Boston, MA.

Abstract

Dual atrioventricular nodal nonreentrant tachycardia (DAVNNT) occurs due to concurrent antegrade conduction over fast and slow atrioventricular nodal pathways and is treated by slow pathway modification. We describe a unique case of a patient with cardiac sarcoidosis who received inappropriate ICD shocks for DAVNNT. Atrial and ventricular device electrograms satisfied both rate and V>A criteria for ventricular tachycardia. We postulate that alterations in refractoriness and conduction as is seen in cardiac sarcoidosis (CS) may have contributed to occurrence of DAVNNT.

Keywords: DAVNNT; dual atrioventricular nodal nonreentrant tachycardia; sarcoidosis; supraventricular tachycardia.