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A diagnosis of AVNRT or AT is impossible, because the stimulated wavefront could not possibly reach the AV node (AVN) or the atrium: fusion is proof that the His-Purkinje network would be refractory to retrograde conduction.

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AVRT atrioventricular reciprocating tachycardia; APaccessory pathway; VPBventricular premature beat. Now consider orthodromic AVRT with a cycle length (CL) of 290 ms (Figure 2). During AVRT, a 12 beat pacing train from the right ventricular apex (RVA) is delivered at a CL of 280 ms after which, AVRT continues.

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