Coumel tachycardia is a rare form of AVRT that uses an accessory pathway with exclusively retrograde, decremental conduction. These accessory pathways are usually located in the posteroseptal region of the tricuspid annulus.
ECG Criteria
- Narrow QRS tachycardia with an incessant character
- Retrograde P waves are visible and negative in II, III, aVF, and V3 to V6
- Long RP interval
- Heart rate between 120 and 200 bpm
- ECG in Coumel tachycardia
ECG in Coumel Tachycardia
Coming soon…
Related Topics
References
- Scheffer MK, De Marchi MFN, de Alencar Neto JN, Felicioni SP. Eletrocardiograma de A a Z. São Paulo: Manole, 2024.
- Brugada J, Katritsis DG, Arbelo E, Arribas F, et al. 2019 ESC Guidelines for themanagement of patients with supraventricular tachycardia. Eur Heart J. 2020;41(5):655–720.
