In a patient with AVNRT, a His-refractory PVC will affect the tachycardia cycle length.

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Multiple Choice

In a patient with AVNRT, a His-refractory PVC will affect the tachycardia cycle length.

Explanation:
AVNRT is sustained by a reentrant circuit inside the AV node, with the ventricle not part of the looping pathway. A premature ventricular contraction that arrives when the His bundle is refractory cannot propagate to reset the AV nodal circuit, so it does not alter the timing of the next impulse through the tachycardia. Therefore, the tachycardia cycle length stays the same. Only ventricular events that can engage or reset the reentrant loop (when not His-refractory) might affect TCL.

AVNRT is sustained by a reentrant circuit inside the AV node, with the ventricle not part of the looping pathway. A premature ventricular contraction that arrives when the His bundle is refractory cannot propagate to reset the AV nodal circuit, so it does not alter the timing of the next impulse through the tachycardia. Therefore, the tachycardia cycle length stays the same. Only ventricular events that can engage or reset the reentrant loop (when not His-refractory) might affect TCL.

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