Arrhythmias Involving the Atrioventricular Junction

Luigi Di Biase, Carola Gianni, Giuseppe Bagliani, Luigi Padeletti

Research output: Contribution to journalReview articlepeer-review

9 Scopus citations


The atrioventricular junction has a central role in electrophysiology, responsible for reentrant and automatic forms of supraventricular tachycardia. During atrioventricular nodal reentry tachycardia, the circuit involves 2 electrophysiologically separate pathways located in the vicinity of the atrioventricular node. Atrioventricular reentry tachycardia is caused by the presence of an accessory pathway located almost anywhere along the atrioventricular groove; the macroreentrant circuit involves the atrioventricular node, the accessory pathway and necessarily portions of atria and ventricles. Junctional tachycardia is a rare form of nonparoxysmal supraventricular tachycardia, secondary to enhanced automaticity or triggered activity. By analyzing a 12-lead electrocardiogram during sinus rhythm and tachycardia, it is possible to accurately diagnose the specific type of supraventricular tachycardia.

Original languageEnglish (US)
Pages (from-to)435-452
Number of pages18
JournalCardiac Electrophysiology Clinics
Issue number3
StatePublished - Sep 1 2017


  • Accessory pathway
  • Atrioventricular junction
  • Atrioventricular node reentry tachycardia
  • Atrioventricular reentry tachycardia
  • Junctional tachycardia

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)


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