Diagnosis and management of typical atrial flutter.
Can "past decade" be rephrased to refer to more specific years? Typical atrial flutter (AFL) is a common atrial arrhythmia that may cause significant symptoms and serious adverse effects, including embolic stroke, myocardial ischemia and infarction, and, rarely, a tachycardia-induced cardiomyopathy resulting from rapid atrioventricular conduction. As a result of the well-defined anatomic and electrophysiologic substrate and the relative pharmacologic resistance of typical AFL, radiofrequency catheter ablation has emerged since its first description in 1992 as a safe and effective first-line treatment. This article reviews the electrophysiology of typical AFL and techniques currently used for its diagnosis and management.
Sawhney
Navinder S
NS
Clinical Cardiac Electrophysiology Program, Division of Cardiology, University of California Medical Center, 4169 Front Street, San Diego, CA 92103, USA.
Feld
Gregory K
GK
D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use*; D001282:Atrial Flutter / Q000175:diagnosis* / Q000628:therapy*; D017115:Catheter Ablation / Q000379:methods*; D004562:Electrocardiography / Q000379:methods*; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods*; D016896:Treatment Outcome
D000889:Anti-Arrhythmia Agents