IBHRE国际心律失常考官委员会英文资料：SVT TRD.pptVIP

* * * * * * * * * * * * Deliver PVC during HIS refractoriness for evaluation of atrial pre-excitation. If atrium is pre-excited and HIS is refractory the impulse traveled retrograde via an accessory pathway. If the atrium is not pre-excitable, however, it does not prove that there is not an accessory pathway, but it is suggestive of AVNRT. In order to verify that HIS was refractory, measure the H-H interval. If the H-H interval remains unchanged while the PVC is delivered the HIS was refractory. If, conversely, the H-H interval is shorter then the HIS was not refractory but depolarized from th