Pathophysiology of Typical Atrial Flutter.

Autor:	Valeri Y; Cardiology and Arrhythmology Clinic, University Hospital 'Ospedali Riuniti', Via Conca 71, Ancona 60126, Italy; Department of Biomedical Sciences and Public Health, Marche Polytechnic University, Ancona, Italy. Electronic address: yarivaleri1@gmail.com., Bagliani G; Cardiology and Arrhythmology Clinic, University Hospital 'Ospedali Riuniti', Via Conca 71, Ancona 60126, Italy; Department of Biomedical Sciences and Public Health, Marche Polytechnic University, Ancona, Italy., Compagnucci P; Cardiology and Arrhythmology Clinic, University Hospital 'Ospedali Riuniti', Via Conca 71, Ancona 60126, Italy; Department of Biomedical Sciences and Public Health, Marche Polytechnic University, Ancona, Italy., Volpato G; Cardiology and Arrhythmology Clinic, University Hospital 'Ospedali Riuniti', Via Conca 71, Ancona 60126, Italy; Department of Biomedical Sciences and Public Health, Marche Polytechnic University, Ancona, Italy., Cipolletta L; Cardiology and Arrhythmology Clinic, University Hospital 'Ospedali Riuniti', Via Conca 71, Ancona 60126, Italy., Parisi Q; Cardiology and Arrhythmology Clinic, University Hospital 'Ospedali Riuniti', Via Conca 71, Ancona 60126, Italy., Misiani A; Cardiology and Arrhythmology Clinic, University Hospital 'Ospedali Riuniti', Via Conca 71, Ancona 60126, Italy., Fogante M; Cardiology and Arrhythmology Clinic, University Hospital 'Ospedali Riuniti', Via Conca 71, Ancona 60126, Italy; Department of Clinical, Special and Dental Sciences, Marche Polytechnic University, Ancona, Italy., Molini S; Cardiology and Arrhythmology Clinic, University Hospital 'Ospedali Riuniti', Via Conca 71, Ancona 60126, Italy., Dello Russo A; Cardiology and Arrhythmology Clinic, University Hospital 'Ospedali Riuniti', Via Conca 71, Ancona 60126, Italy; Department of Biomedical Sciences and Public Health, Marche Polytechnic University, Ancona, Italy., Casella M; Cardiology and Arrhythmology Clinic, University Hospital 'Ospedali Riuniti', Via Conca 71, Ancona 60126, Italy; Department of Clinical, Special and Dental Sciences, Marche Polytechnic University, Ancona, Italy.
Jazyk:	angličtina
Zdroj:	Cardiac electrophysiology clinics [Card Electrophysiol Clin] 2022 Sep; Vol. 14 (3), pp. 401-409. Date of Electronic Publication: 2022 Aug 25.
DOI:	10.1016/j.ccep.2022.05.003
Abstrakt:	Nowadays, the pathophysiology mechanism of initiation and maintenance of reentrant arrhythmias, including atrial flutter, is well characterized. However, the anatomic and functional elements of the macro reentrant arrhythmias are not always well defined. In this article, we illustrate the anatomic structures that delineate the typical atrial flutter circuit, both clockwise and counterclockwise, paying attention to the inferior vena cava-tricuspid isthmus (CTI) and crista terminalis crucial role. Finally, we describe the left atrial role during typical atrial flutter, electrophysiologically a by-stander but essential in the phenotypic electrocardiogram (ECG). Competing Interests: Disclosure A.D. Russo is a consultant for Abbott. All other authors declared no conflict of interest. (Copyright © 2022 Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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