This article documents the termination of a pacemaker endless loop tachycar
dia by a critically timed atrial extrasystole. Although predictable electro
physiologically, this mode of termination has not been previously reported.
The observation is conceptually important because it provides the final li
nk in establishing the similarity of endless loop tachycardia and spontaneo
us reentrant AV nodal or junctional tachycardias in terms of initiation and
termination by single atrial or ventricular extrasystoles.