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Cavo-tricuspid isthmus (CTI) dependent atrialflutter (AFL) is one of the most common atrialarrhythmias involving the right atrium (RA). Radiofrequency catheter ablation has been widely used as a therapy of choice and it is curative.
Abstract Introduction Cavo-tricuspid isthmus (CTI) dependent atrialflutter (AFL) is one of the most common atrialarrhythmias involving the right atrium (RA) for which radiofrequency catheter ablation has been widely used as a therapy of choice.
Since the most common ventricular response to untreated AFlutter is with 2:1 AV conduction — this results in a ventricular rate HALF as fast as the flutter rate in the atria — and 300 ÷ 2 ~150/minute ( usual range ~130-170/minute ).
Atrial Tachycardia (70%) and Typical AtrialFlutter (65%) were the most common SVTs ablated. Tricuspid atresia and elevated BNP levels were associated with increased risk of SVT recurrence (Table).Conclusion:Recurrence A trans-baffle puncture during the ablation was performed in 6 (23%) patients.
However, underlying lesions such as hypertension, mitral valve disease, COPD, ASD, and TR greatly influence the degree of atrial enlargement. Spatial relationship of sites for atrial fibrillation drivers and atrial tachycardia in patients with both arrhythmias July 2017 International Journal of Cardiology 248(3) AF begets AF.
IntroductionThe precise pathophysiology of common atrialflutter remains imperfectly known. The direction of activation is therefore frequently counter-clockwise, and the arrhythmia stabilizes around the vena cavas and sinus venosus/crista terminalis region. Its rotation is limited by anatomical and functional boundaries.
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