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.
Clinical Cardiac Electrophysiology Program, Division of Cardiology, University of California Medical Center, 4169 Front Street, San Diego, CA 92103, USA.
Navinder S
NS
Sawhney
Gregory K
GK
Feld
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