title: Recurrent atrial flutter in apical hypertrophic cardiomyopathy.
abstract: Palpitations are a symptom often reported by patients with apical hypertrophic cardiomyopathy (HCM), yet the arrhythmias associated with this type of HCM have not been studied adequately. Herein, a case of persistently recurrent atrial flutter in a 63-year-old Greek man with apical HCM is presented. Synchronized direct-current shocks were used twice during his hospitalization in order to convert atrial flutter to sinus rhythm. No definite precipitating factor for the induction of atrial flutter was identified.
authors.affiliation: Second Department of Cardiology, Evangelismos Hospital, Athens, Greece.
authors.forename: I P
authors.initials: IP
authors.lastname: Gavaliatsis
authors.forename: N M
authors.initials: NM
authors.lastname: Kouvousis
authors.forename: L S
authors.initials: LS
authors.lastname: Rallidis
authors.forename: J M
authors.initials: JM
authors.lastname: Pirros
authors.forename: C T
authors.initials: CT
authors.lastname: Dionisopoulou
authors.forename: D T
authors.initials: DT
authors.lastname: Kremastinos
authors.forename: G K
authors.initials: GK
authors.lastname: Tsitouris
mesh_terms: D000638:Amiodarone / Q000627:therapeutic use; D001282:Atrial Flutter / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D002304:Cardiac Pacing, Artificial; D002312:Cardiomyopathy, Hypertrophic / Q000150:complications* / Q000000981:diagnostic imaging; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008875:Middle Aged; D012008:Recurrence
chemical_list: D000638:Amiodarone