title: Successful radiofrequency ablation of atrial flutter causing hemodynamic instability in a patient with recent myocardial infarction.
abstract: Atrial flutter (AFL) is a common arrhythmia which may decrease cardiac output and may cause embolic events. Direct current (DC) cardioversion, medical cardioversion and radiofrequency (RF) ablation are therapeutic options, but over all RF ablation therapy has the longest event free period. Although development of AFL after myocardial infarction is quite common it may spontaneously recover or results in atrial fibrillation. Herein we report a patient with medical and electrical cardioversion resistant AFL which developed in the early post-myocardial infarction period causing hemodynamic instability, who was successfully treated with RF catheter ablation.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Yıldız
authors.forename: Tayyar
authors.initials: T
authors.lastname: Gokdeniz
authors.affiliation: Department of Cardiology, Ahi Evren Chest and Cardiovascular Surgery Education and Research Hospital, Soguksu Mah. Camlık Cad. Trabzon, PK: 61040, Turkey. ahmetaykan@yahoo.com.
authors.forename: Ahmet C
authors.initials: AC
authors.lastname: Aykan
authors.forename: Ibrahim H
authors.initials: IH
authors.lastname: Tanboga
mesh_terms: D001282:Atrial Flutter / Q000503:physiopathology / Q000601:surgery*; D017115:Catheter Ablation / Q000379:methods; D004562:Electrocardiography; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000601:surgery*; D016896:Treatment Outcome