Journal Article

Atypical atrial flutters

P. Ricard, M. Imianitoff, K. Yaïci, J. M. Coutelour, M. Bergonzi, J. P. Rinaldi and N. Saoudi

in EP Europace

Published on behalf of European Heart Rhythm Association of the European Society of Cardiology (ESC)

Volume 4, issue 3, pages 229-239
Published in print July 2002 | ISSN: 1099-5129
Published online July 2002 | e-ISSN: 1532-2092 | DOI: http://dx.doi.org/10.1053/eupc.2002.0251
Atypical atrial flutters

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Typical atrial flutter is due to a counterclockwise macrore-entry circuit localized in the right atrium with a surface ECG pattern showing predominantly negative F waves in the inferior leads and positive F waves in V1. Recently it has been proposed to classify atrial flutter on the basis of its cavo-tricuspid isthmus dependence rather than on the ECG pattern. Therefore some atrial flutters are considered typical even if the ECG does not exhibit a typical pattern. This is the case for reverse typical atrial flutter, lower loop re-entry and partial-isthmus-dependent short circuit flutter. The term atypical flutter refers to a non-isthmus dependent flutter. Usually these patients have had previous cardiac surgery with a right or left atriotomy. Flutter involving a spontaneous right atrial scar is not uncommon.

Keywords: Atrial flutter; common atrial flutter; typical atrial flutter; atypical atrial flutter; cavotricuspid isthmus re-entry arrhythmia; atrial scars

Journal Article.  0 words. 

Subjects: Cardiovascular Medicine

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