Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.12530/30674
Title: Atrial Flutter, Typical and Atypical: A Review.
Authors: Cosío, Francisco G
Keywords: 
Issue Date: Jun-2017
Citation: Arrhythm Electrophysiol Rev.2017 Jun;(6)2:55-62
Abstract: Clinical electrophysiology has made the traditional classification of rapid atrial rhythms into flutter and tachycardia of little clinical use. Electrophysiological studies have defined multiple mechanisms of tachycardia, both re-entrant and focal, with varying ECG morphologies and rates, authenticated by the results of catheter ablation of the focal triggers or critical isthmuses of re-entry circuits. In patients without a history of heart disease, cardiac surgery or catheter ablation, typical flutter ECG remains predictive of a right atrial re-entry circuit dependent on the inferior vena cava-tricuspid isthmus that can be very effectively treated by ablation, although late incidence of atrial fibrillation remains a problem. Secondary prevention, based on the treatment of associated atrial fibrillation risk factors, is emerging as a therapeutic option. In patients subjected to cardiac surgery or catheter ablation for the treatment of atrial fibrillation or showing atypical ECG patterns, macro-re-entrant and focal tachycardia mechanisms can be very complex and electrophysiological studies are necessary to guide ablation treatment in poorly tolerated cases.
PMID: 28835836
URI: https://hdl.handle.net/20.500.12530/30674
Rights: openAccess
ISSN: 2050-3369
Appears in Collections:Fundaciones e Institutos de Investigación > IIS H. U. Getafe > Artículos
Hospitales > H. U. de Getafe > Artículos

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