[The termination of auricular flutter by noninvasive programmed electrical stimulation using a permanent AAI-mode pacemaker].
We describe a case of a 15-year-old boy with an atrial septal defect who three years after the direct closure of the defect presented with atrial flutter type I according to Wells's classification. He was then electrically cardioverted but presented immediately sinus bradycardia and a ventricular escape rhythm that required epicardial pacing (Intermedics 292-03 DASH) in the AAI mode. We report here the successful termination of a new episode of atrial flutter into sinus rhythm with a noninvasive programmed stimulation using his previously implanted pacing system.
Saucedo
J
J
Departamento de Electrocardiografía y Electrofisiología, Instituto Nacional de Cardiología Ignacio Chávez (INCICH), México, D.F.
Iturralde
P
P
Attie
F
F
Colín
L
L
Kershenovich
S
S
González Hermosillo
J A
JA
D000293:Adolescent; D001282:Atrial Flutter / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D004867:Equipment Design; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000601:surgery; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000628:therapy
Terminación de un flutter auricular por estimulación eléctrica programada no invasiva utilizando un marcapaso permanente en modalidad AAI.