Dual atrioventricular nodal nonreentrant tachycardia (DAVNNT) occurs due to concurrent antegrade conduction over fast and slow atrioventricular nodal pathways and is treated by slow pathway modification. We describe a unique case of a patient with cardiac sarcoidosis who received inappropriate ICD shocks for DAVNNT. Atrial and ventricular device electrograms satisfied both rate and V>A criteria for ventricular tachycardia. We postulate that alterations in refractoriness and conduction as is seen in cardiac sarcoidosis (CS) may have contributed to occurrence of DAVNNT.

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fast slow pathway sarcoidosis antegrade conduction va refractoriness davnnt atrial and ventricular device atrioventricular nodal nonreentrant tachycardia icd shocks

Ankur A. Karnik, MD,Khashayar Hematpour, MD,Advay G. Bhatt, MD,Michael J. Mazzini, MD,.Dual AV Nodal Nonreentrant Tachycardia Resulting in Inappropriate ICD Therapy in a Patient with Cardiac Sarcoidosis. 14 (1),.

Ankur A. Karnik, MD,Khashayar Hematpour, MD,Advay G. Bhatt, MD,Michael J. Mazzini, MD,"Dual AV Nodal Nonreentrant Tachycardia Resulting in Inappropriate ICD Therapy in a Patient with Cardiac Sarcoidosis" 14

Ankur A. Karnik, MD,Khashayar Hematpour, MD,Advay G. Bhatt, MD,Michael J. Mazzini, MD,"Dual AV Nodal Nonreentrant Tachycardia Resulting in Inappropriate ICD Therapy in a Patient with Cardiac Sarcoidosis"