Narrow QRS Tachycardia: Orthodromic Atrioventricular Reentrant Tachycardia Using an Accessory AV Connection in Wolff-Parkinson-White Syndrome

Narrow QRS Tachycardia: Orthodromic Atrioventricular Reentrant Tachycardia Using an Accessory AV Connection in Wolff-Parkinson-White Syndrome

Activation is as follows: atrioventricular node, His-Purkinje system, ventricle, accessory connection, atria. The P wave occurs shortly after the QRS complex; it is a short RP interval tachycardia (RP < PR).