Symposium 46 I I II II III III / narrow QRS tachycardia 139/ P V1 HIS 5 6 HIS 3 4 HIS 1 2 CS 9 10 CS 7 8 CS 5 6 CS 3 4 CS 1 2 RV 3 4 RV

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1 Symposium 46 Inappropriate Sinus Tachycardia1 inappropriate sinus tachycardiaistp 100/ 1 IST 2 IST IST atrio ventricular nodal reentrant tachycardiavnrt IST / 1 narrow QRS 139/aVFP1 His jump up 2 530msec narrow QRS 3 His VNRT VNRT 2 120/ 89/ 4 175/ 4 4CIST 2.5mg 1 / Tsugiyoshi Yamazaki, et al. case of inappropriate sinus tachycardia after atrio ventricular nodal reentrant tachycardia ablation 952

2 Symposium 46 I I II II III III / narrow QRS tachycardia 139/ P V1 HIS 5 6 HIS 3 4 HIS 1 2 CS 9 10 CS 7 8 CS 5 6 CS 3 4 CS 1 2 RV 3 4 RV mm/sec 2 Jump up 460msec 250msec Jump up 73/ / 5C 67/ 114/ 6 953

3 Symposium 46 V1 HIS 5 6 HIS 3 4 HIS 1 2 CS 9 10 CS 7 8 CS 5 6 CS 3 4 CS 1 2 RV 3 4 RV mm/sec 3 VNRT 300 msec530 msecvnrt 6 2 standard deviation of all normal sinus RR intervals over 24 hsdnn 78 msec 7 percentage of successive normal sinus RR intervals 50 ms RR IST IST 90 IST 3 IST 64 VNR T posterolateral accessory pathway Hz 2 RR SDNN RR 50 SDNN msec 4 954

4 Symposium Sinus tachycardia, 175 bpm 25.0 mm/sec C /175/ C 955

5 Symposium couplet 1 9:25: C Sinus tachycardia, 136 bpm 25.0 mm/sec 5 2.5mg C 78.0 msecsdnn RR 50 RR RR msec

6 Symposium IST IST 50 6 If 7 5 mg ng/ml mg ng/ml 15.8 VNR T IST 957

7 Symposium 46 7 RR SDNN RR 50 SDNN RR 50 1 Olshansky, et al. Inappropriate sinus tachycardia. J m Coll Cardiol 2013;61: Kocovic DZ, et al. lterations of heart rate and of heart rate variability after radiofrequency catheter ablation of supraventricular tachycardia. Circulation 1993;88: Olgin JE. Sinus tachycardia and sinus node reentry. In Zipes DP, Jalife J. Cardiac Electrophysiology: From Cell to edside 2000: Umetani K,et al. Twenty four hour time domain heart rate variability and heart rate : Relations to age and gender over nine decades. J m Coll Cardiol 1998;31: Ewing DJ, et al. New method for assessing cardiac parasympathetic activity using 24 hour electrocardiograms. r Heart J 1984;52: Shinbane JS, et al. Long term follow up after radiofrequency sinus node modification for inappropriate sinus tachycardia. J m Coll Cardiol 1997;29: Sisti D, et al. case of inappropriate sinus tachycardia after atrio ventricular nodal reentrant tachycardia cr yoablation successfully treated by ivabradine. Europace 2010;12:

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