[Management of atrial flutter in 2006].
Typical or common atrial flutter is a frequent cardiac arrhythmia related to a macroreentrant circuit located entirely within the right atrium. Risks associated with this supraventricular arrhythmia include 1 to 1 conduction with extremely rapid ventricular rates, tachycardia-mediated cardiomyopathy and thromboembolic events. Treatment of choice of atrial flutter is radiofrequency catheter ablation of the cavo-tricuspid isthmus, and this form of treatment may be considered either during the first episode or at the time of the first recurrence of atrial flutter. Anticoagulant therapy is the rule in the presence of atrial flutter because this arrhythmia favors thromboembolic complications and because atrial flutter is frequently associated with atrial fibrillation.
Zimmermann
Marc
M
Département cardiovasculaire, Hôpital de LaTour, 1217 Meyrin, Genève. zimmermann.family@bluewin.ch
Meiltz
Alexandre
A
D000925:Anticoagulants / Q000627:therapeutic use; D001282:Atrial Flutter / Q000503:physiopathology / Q000628:therapy*; D017115:Catheter Ablation; D006801:Humans
D000925:Anticoagulants