Atrial Flutter, Typical and Atypical: A Review
| Autor: | Francisco G. Cosio |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Tachycardia
medicine.medical_specialty atypical atrial flutter Typical atrial flutter medicine.medical_treatment Enfermedad cardiovascular Catheter ablation Taquicardia 030204 cardiovascular system & hematology Fibrilación auricular 03 medical and health sciences 0302 clinical medicine Physiology (medical) Internal medicine medicine 030212 general & internal medicine cardiovascular diseases classification of atrial tachycardias Sistema cardiovascular business.industry Atrial fibrillation medicine.disease Ablation Cardiac surgery macro-re-entrant atrial tachycardia Cardiology Clinical electrophysiology cardiovascular system Clinical Arrhythmias Corazón -- Enfermedades medicine.symptom Cardiology and Cardiovascular Medicine business flutter ablation Atrial flutter |
| Zdroj: | Repositorio Institucional de la Consejería de Sanidad de la Comunidad de Madrid Consejería de Sanidad de la Comunidad de Madrid |
| Popis: | Clinical electrophysiology has made the traditional classification of rapid atrial rhythms into flutter and tachycardia of little clinical use. Electrophysiological studies have defined multiple mechanisms of tachycardia, both re-entrant and focal, with varying ECG morphologies and rates, authenticated by the results of catheter ablation of the focal triggers or critical isthmuses of re-entry circuits. In patients without a history of heart disease, cardiac surgery or catheter ablation, typical flutter ECG remains predictive of a right atrial re-entry circuit dependent on the inferior vena cava-tricuspid isthmus that can be very effectively treated by ablation, although late incidence of atrial fibrillation remains a problem. Secondary prevention, based on the treatment of associated atrial fibrillation risk factors, is emerging as a therapeutic option. In patients subjected to cardiac surgery or catheter ablation for the treatment of atrial fibrillation or showing atypical ECG patterns, macro-re-entrant and focal tachycardia mechanisms can be very complex and electrophysiological studies are necessary to guide ablation treatment in poorly tolerated cases. Sin financiación 0.760 SJR (2017) Q2, 133/362 Cardiology and Cardiovascular Medicine, 52/102 Physiology (medical) UEM |
| Databáze: | OpenAIRE |
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