DAIC

APRIL 12, 2024

In the study, HeartBeam AI with VCG demonstrated a 28% improvement over single-lead ECG in the detection of atrial flutter cases (sensitivity of 91.0% for single-lead ECG) without sacrificing the ability to identify those individuals without atrial flutter (specificity of 98.7% for VCG vs. 71.2% for VCG vs. 96.9%

Atrial Flutter 124

Atrial Flutter Arrhythmia Technology Heart Rhythm 124

HeartRhythm

MARCH 31, 2025

Atrial flutter (AFL) in nave hearts is predominantly typical peritricuspid AFL; atypical AFL is seen post cardiac surgery or atrial fibrillation (AF) ablation.

Atrial Flutter 40

Atrial Flutter Atrial Fibrillation Ablation 40

HeartRhythm

OCTOBER 21, 2024

While atrial arrhythmias are frequently associated with SSS, we hypothesized that atrial flutter (AFL) would strongly predict SSS given shared relationships with right atrial, and particularly crista terminalis, fibrosis.

Atrial Flutter 40

Atrial Flutter Quality of Life Pacemaker Arrhythmia 40

HeartRhythm

MARCH 31, 2025

Heart failure (HF) readmission rates remain a concern in patients with lone typical atrial flutter (AFL) and HF, even following cavo-tricuspid isthmus (CTI) ablation.

Atrial Flutter 40

Atrial Flutter Heart Failure Tricuspid Pulmonary 40

HeartRhythm

MARCH 31, 2025

Cavotricuspid isthmus (CTI) ablation for patients presenting with typical atrial flutter (AFL) is a highly effective intervention, however these patients are at risk for developing atrial fibrillation (AF).

Atrial Flutter 40

Atrial Flutter Atrial Fibrillation Ablation Strokes 40

HeartRhythm

MARCH 31, 2025

Atypical atrial flutter (AtFL) and atrial fibrillation (AF) share similar clinical presentations but may differ in underlying substrates and clinical progression.

Atrial Flutter 40

Atrial Flutter Atrial Fibrillation Arrhythmia Outcomes 40

HeartRhythm

MARCH 31, 2025

We present a case of successful PFA of an atrial flutter in a patient with d-TGA. There is a paucity of literature regarding PFA in complex congenital heart disease.

Atrial Flutter 40

Atrial Flutter Congenital Heart Disease Congenital Heart Disease 40

HeartRhythm

APRIL 30, 2024

While atrial arrhythmias are frequently associated with SSS, we hypothesized that atrial flutter (AFL) would strongly predict SSS given shared relationships with right atrial, and particularly crista terminalis, fibrosis.

Atrial Flutter 40

Atrial Flutter Quality of Life Pacemaker Arrhythmia 40

HeartRhythm

MARCH 31, 2025

Little is known about the treatment of atypical atrial flutter that occurs after PFA of AF. Pulsed field ablation (PFA) has emerged as an innovative new ablation strategy for the treatment of AF.

Atrial Flutter 40

Atrial Flutter Ablation Atrial Fibrillation Innovation 40

HeartRhythm

MARCH 31, 2025

Pulsed-field ablation (PFA) has the potential to improve safety and efficacy in atrial flutter (AFL) ablation, yet its clinical outcomes and procedural characteristics remain underexplored in real world practice.

Atrial Flutter 40

Atrial Flutter Ablation Outcomes 40

HeartRhythm

MARCH 31, 2025

Given the pentaspline catheter design of the FARAPULSE system, applications of PFA may inadvertently result in narrow channels of slow conduction along the posterior wall between lesion sets, creating a substrate for left atrial flutter.

Atrial Flutter 40

Atrial Flutter Pulmonary Ablation Arrhythmia 40

Frontiers in Cardiovascular Medicine

AUGUST 7, 2024

BackgroundTypical isthmus-dependent atrial flutter (AFL) is traditionally treated through radiofrequency (RF) ablation to create a bidirectional conduction block across the cavo-tricuspid isthmus (CTI) in the right atrium.

Atrial Flutter 52

Atrial Flutter Ablation Tricuspid 52

HeartRhythm

APRIL 30, 2024

Atrial flutter/atrial tachycardia (AFL/AT) detection performance in insertable cardiac monitors (ICM) remains a challenge due to inappropriate detections.

Atrial Flutter 40

Atrial Flutter Tachycardia 40

HeartRhythm

SEPTEMBER 12, 2024

Traumatic brain injury (TBI) is associated with a variety of adverse long-term outcomes and increases sympathetic nervous system activation which could increase the risk of arrhythmias including atrial fibrillation or atrial flutter (AF/AFL).

Atrial Flutter 40

Atrial Flutter Atrial Fibrillation Arrhythmia Outcomes 40

HeartRhythm

APRIL 11, 2024

Idiopathic atypical (non-cavotricupid isthmus [CTI]-dependent) atrial flutter (IAAFL) may be seen in patients without structural heart disease and without previous cardiac surgery or ablation.

Atrial Flutter 40

Atrial Flutter Ablation Heart Disease Outcomes 40

HeartRhythm

APRIL 30, 2024

Atypical Atrial Flutter (AAFL) prevalence is increasing due to the escalating Atrial Fibrillation (AF) ablations and cardiac surgeries. We wanted to explore the outcome of the AAFL ablation, considering the recent changes in mapping and ablation.

Atrial Flutter 40

Atrial Flutter Ablation Electrophysiology Atrial Fibrillation 40

Journal of Cardiovascular Electrophysiology

DECEMBER 2, 2024

ABSTRACT Background Atrial fibrillation and atrial flutter are relatively rare in young people and the incidence of thromboembolic complications is unknown. These issues contribute to the limited utility of present guidelines regarding anticoagulation in this population.

Atrial Flutter 40

Atrial Flutter Atrial Fibrillation Pediatrics AFIB 40

HeartRhythm

APRIL 30, 2024

Cavo-tricuspid isthmus (CTI) dependent atrial flutter (AFL) is one of the most common atrial arrhythmias involving the right atrium (RA). Radiofrequency catheter ablation has been widely used as a therapy of choice and it is curative.

Atrial Flutter 40

Atrial Flutter Ablation Tricuspid Arrhythmia 40

HeartRhythm

JANUARY 6, 2025

A significant proportion of patients with isolated atrial flutter (AFL) will develop atrial fibrillation (AF) following cavotricuspid isthmus (CTI) ablation.

Atrial Flutter 40

Atrial Flutter Atrial Fibrillation Ablation Pulmonary 40

Journal of Cardiovascular Electrophysiology

JANUARY 17, 2025

ABSTRACT Atrial flutter (AFL), defined as macro-re-entrant atrial tachycardia, is associated with debilitating symptoms, stroke, heart failure, and increased mortality. Atypical AFL is a heterogenous group of re-entrant atrial tachycardias that most commonly occur in patients with prior heart surgery or catheter ablation.

Atrial Flutter 40

Atrial Flutter Electrophysiology Ablation Tachycardia 40

HeartRhythm

APRIL 30, 2024

Image-based patient-specific computational models have recently emerged as a tool to guide atypical atrial flutter (AAF) ablation. However, little is known about the sensitivity of these models to the selection of parameters.

Atrial Flutter 40

Atrial Flutter Ablation 40

HeartRhythm

APRIL 30, 2024

The competing risk of non-stroke mortality may limit the potential benefit of stroke prophylaxis therapy in patients with atrial fibrillation and/or atrial flutter (AF).

Atrial Flutter 40

Atrial Flutter Atrial Fibrillation Strokes Stroke 40

HeartRhythm

APRIL 30, 2024

Concerns about the safety of coronavirus disease (COVID-19) vaccines in patients with atrial fibrillation/atrial flutter (AF/AFL) have arisen due to reports of an association between thromboembolic events and COVID-19 vaccination.

COVID-19 40

COVID-19 Atrial Flutter Atrial Fibrillation 40

HeartRhythm

APRIL 30, 2024

However, there is a need to deliver flexible lesions for atrial flutter (AFL) and non-PV ablations. Single-shot pulsed field ablation (PFA) catheters for pulmonary vein isolation are being studied. A 7Fr PFA catheter (PFLinear, EnChannel Medical) capable of delivering both focal and linear ablations has been developed.

Atrial Flutter 40

Atrial Flutter Ablation Pulmonary 40

HeartRhythm

APRIL 30, 2024

It is unclear how deep learning applied to VCG compares to physicians (EPs) for atrial flutter (AFL) detection. The representation of ECG vectors in X, Y, and Z axes in a vectorcardiogram (VCG) has shown diagnostic promise beyond single lead ECG (SL) analysis, with implications for novel ECG acquisition technologies.

Atrial Flutter 40

Atrial Flutter Electrocardiogram Technology 40

ECG Guru

DECEMBER 18, 2023

If a wide complex tachycardia occurs, the probability is very high that it is a ventricular tachycardia (approx. 80%, in patients with a previous myocardial infarction (.) Here we see a broad complex tachycardia that looks like an RBBB + LAFB, which is regular. In this constellation, 3 causes must be considered: 1.

Atrial Flutter 75

Atrial Flutter Myocardial Infarction Tachycardia 75

Frontiers in Cardiovascular Medicine

FEBRUARY 24, 2025

Head CT scans showed hypoattenuating areas indicative of cerebral infarction, chest CT suggested possible air accumulation in the left atrial region. ECG findings were consistent with atrial flutter, myocardial infarction, and incomplete right bundle branch block.

Atrial Fibrillation 52

Atrial Fibrillation Ablation Cardiogenic Shock Myocardial Infarction 52

HeartRhythm

APRIL 30, 2024

Wild-type transthyretin amyloid cardiomyopathy (ATTRwt-CM) is often accompanied by atrial fibrillation (AF), atrial flutter (AFL), and atrial tachycardia (AT), which are difficult to control because beta-blockers and antiarrhythmic drugs can worsen heart failure (HF).

Atrial Flutter 40

Atrial Flutter Atrial Fibrillation Tachycardia Cardiomyopathy 40

HeartRhythm

APRIL 16, 2025

Reversible pulsed field ablation (PFREV) can temporarily block conduction and may emerge as a novel clinical mapping tool to accurately identify critical isthmuses before creating permanent lesions.

Atrial Flutter 40

Atrial Flutter Ablation 40

Journal of Cardiovascular Electrophysiology

NOVEMBER 17, 2023

Abstract Introduction Cavo-tricuspid isthmus (CTI) dependent atrial flutter (AFL) is one of the most common atrial arrhythmias involving the right atrium (RA) for which radiofrequency catheter ablation has been widely used as a therapy of choice.

Atrial Flutter 40

Atrial Flutter Ablation Heart Transplant Tricuspid 40

Journal of Cardiovascular Electrophysiology

SEPTEMBER 26, 2024

The positive F wave in lead V1 changed during entrainment from the right atrial appendage (RAA) during typical atrial flutter (AFL). Abstract Introduction Typical atrial flutter (AFL) is a macroreentrant tachycardia in which intracardiac conduction rotates counterclockwise around the tricuspid annulus.

Atrial Flutter 40

Atrial Flutter Tachycardia Tricuspid Electrocardiogram 40

Dr. Smith's ECG Blog

JULY 5, 2024

A fully upright P-wave is typical atrial activity of atrial flutter as seen in V1. See these example cases of upright P-waves: Case Continued Thus, I was all but certain that this was atrial flutter.

Atrial Flutter 112

Atrial Flutter Tachycardia AFIB Atrial Fibrillation 112

Dr. Smith's ECG Blog

DECEMBER 27, 2014

If it is slow Atrial flutter with 1:1 conduction, it should slow the conduction and reveal the flutter waves. This is the exact rate one expects with slow atrial flutter and it is why slow atrial flutter can be so dangerous: it conducts 1:1, with fast ventricular rates. Rate 120, flutter rate 240.

Atrial Flutter 52

Atrial Flutter Tachycardia Chest Pain Ischemia 52

Dr. Smith's ECG Blog

SEPTEMBER 17, 2021

- PSVT (which includes AVNRT and orthodromic AV reciprocating tachycardia) [AVRT uses an accessory pathway, a "bypass tract" and thus is seen in WPW; about 30% of PSVT is orthodromic AVRT] - Atrial Flutter with 1:1 conduction. If you look closely at lead II across the bottom, it appears there are flutter waves. Which is it?

Atrial Flutter 52

Atrial Flutter Tachycardia Chest Pain Ischemia 52

HeartRhythm

MARCH 31, 2025

Reversible pulsed field ablation (PFREV) can transiently interrupt cardiomyocyte conduction, offering a promising mapping tool that could precisely identify critical isthmuses within tachycardia circuits before creating permanent lesions.

Atrial Flutter 40

Atrial Flutter Tachycardia Ablation 40

Dr. Smith's ECG Blog

DECEMBER 26, 2020

There is the appearance of STE in inferior leads II, III, and aVF (with STD in aVR), but this is entirely due to flutter waves which are only seen in those leads. Also, the atrial flutter in this case is relatively slow like in many other cases we've shown. Atrial Flutter with Inferior STEMI? Is this inferor STEMI?

Atrial Flutter 52

Atrial Flutter Ischemia STEMI Tachycardia 52

Frontiers in Cardiovascular Medicine

APRIL 3, 2025

Primary endpoint was the incidence of patients with new onset supraventricular arrhythmia (AF, atrial flutter or any supraventricular tachycardia) lasting >30s, post PFO closure.ResultsA total of 59 patients met the inclusion criteria.

Arrhythmia 40

Arrhythmia Atrial Flutter Atrial Fibrillation Defibrillator 40