Sinus Node Reentry

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Characteristics

  • Rate less than 160
  • P wave similiar to sinus rhythm
  • Induction by PACs or burst pacing
  • Responds to adenosine, verapamil, or diltiazem
  • CCB and Digoxin useful for prevention and Beat Blockers have little effect.

Ablation

  • Ablate at earliest activation or at prolonged and fractionated atrial electrograms.
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