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👇 Overview of Double firing on ECG — also known as Dual AV Nodal Non-Reentrant Tachycardia (DAVNNT) 👇 👉 Mechanism: Simultaneous antegrade conduction over fast and slow AV nodal pathways, producing the classic pattern of one P wave followed by two QRS complexes. ➡️ Frequently misinterpreted as PVCs, PACs, or even atrial or ventricular tachycardia ➡️ Misdiagnosis may lead to unnecessary antiarrhythmic therapy ➡️ Patients can present with palpitations, dizziness, or presyncope 👉 EPS is key to confirming dual AV nodal physiology and distinguishing it from other arrhythmias (para-Hisian PVCs) 👉 For symptomatic patients, RF catheter ablation targeting the slow pathway is the treatment of choice, with high success and low complication rates, consistent with ACC/AHA/ESC recommendations. 💡 #EPeeps 💡 Awareness of this entity is essential to ensure accurate diagnosis, appropriate management, and avoidance of overtreatment. 🙏🙏 Another excellent video—brilliantly created by @N_Trajkovska , as always. 🫡🫡 @Phiso_de @MBraunEP @MoneebKhalaph @Cardioschool @chris_sohns @Ecgloverr @ECGEPSCADEVICE @ecgandrhythmRoe @ecgrhythms @makkyecg @KostekMilan @jjmt_ep @AbbottNews #CardioTwitter @AGEP_DGK @YoungDgk @ArashArya_EP @TobiasReichlin #LearnEP @Koichi16423232 @MattersoftheH14 @alex1708ander @DrRajeshG1

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