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. 2019 Sep 18;19(6):222–231. doi: 10.1016/j.ipej.2019.09.004

Table 1.

Clinical features suggesting arrhythmia mechanism.

Reentrant tachycardia Automatic tachycardia Triggered arrhythmia
  • Regular rate or stable tachycardia cycle length

  • Paroxysmal, with abrupt onset and abrupt termination

  • Induced by programmed stimulation

  • Terminated by direct current (DC) shock or rapid overdrive pacing

  • Predictable slowing or termination with antiarrhythmic drugs that alter conduction through the tissue involved (e.g., Adenosine)

  • Amenable to ablation of one critical limb

  • Wide variation in rate that correlates with autonomic tone

  • Gradual “warm-up” and “cool-down” of rates, at times incessant

  • Typically active during periods of high sympathetic tone. Cannot be induced by programmed stimulation

  • Inability to terminate with DC shock. Transiently suppressed by overdrive pacing.

  • Identified as focal disorder by intracardiac mapping, can be eliminated by ablation lesion at the epicenter of electrical activation

  • Broad overlap with other mechanisms

  • Rate variation with warm-up and cool-down, sensitivity to catecholamines

  • Ability to induce and terminate with programmed stimulation or prolonged rapid pacing as well as termination with DC cardioversion.

  • In clinical practice, often identified by features not typical of either automaticity or reentry