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Abstract Introduction Cavo-tricuspid isthmus (CTI) dependent atrialflutter (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.
Abstract Introduction The use of flecainide and propafenone for medical cardioversion of atrial fibrillation (AF) and atrialflutter/intra-atrial reentrant tachycardia (IART) is well-described in adults without congenital heart disease (CHD).
So this is an extremely slow atrialflutter with 2:1 conduction. Atrial rate 146, ventricular rate 73. I suspect that the amyloid slows the conduction of the atrialflutter. It turned out that he had a history of slow atrialflutter. It turns out that this patient has cardiac amyloidosis.
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