Salvage transvenous rapid atrial pacing to terminate atrial flutter after cardiac operations.
Atrial flutter occurring after cardiac operations normally responds well to atrial overdrive pacing through epicardial atrial pacing wires and medication. When this fails, transvenous atrial overpacing offers an attractive alternative. We performed the procedure 29 times in 25 patients. Sinus rhythm returned acutely after 25 procedures in 21 patients and persisted with medication in 20 patients at follow-up. The procedure was well tolerated by all.
Amsel
B J
BJ
Department of Cardiac Surgery, University Hospital of Antwerp, Edegem, Belgium.
Walter
P J
PJ
D000368:Aged; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D001281:Atrial Fibrillation / Q000628:therapy*; D001282:Atrial Flutter / Q000628:therapy*; D002304:Cardiac Pacing, Artificial / Q000379:methods*; D001026:Coronary Artery Bypass / Q000009:adverse effects; D004567:Electrodes, Implanted; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial; D016879:Salvage Therapy
D000889:Anti-Arrhythmia Agents