Diagnosis and management of typical atrial flutter.
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 as a result of rapid atrioventricular conduction. As a result of the well-defined anatomic and electrophysiological substrate, and the relative pharmacologic resistance of typical AFL, radiofrequency catheter ablation has emerged in the past decade as a safe and effective first-line treatment. This article reviews the electrophysiology of typical AFL and the techniques currently used for its diagnosis and management.
Sawhney
Navinder S
NS
Cardiac Electrophysiology Program, Division of Cardiology, University of California San Diego Medical Center, 4169 Front Street, San Diego, CA 92103-8648, USA.
Anousheh
Ramtin
R
Chen
Wei-Chung
WC
Feld
Gregory K
GK
D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use*; D001282:Atrial Flutter / Q000175:diagnosis* / Q000628:therapy*; D017115:Catheter Ablation / Q000379:methods*; D003936:Diagnosis, Computer-Assisted / Q000379:methods; D003937:Diagnosis, Differential; D004562:Electrocardiography / Q000379:methods*; D006801:Humans; D016896:Treatment Outcome
D000889:Anti-Arrhythmia Agents