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The positive F wave in lead V1 changed during entrainment from the right atrial appendage (RAA) during typical atrialflutter (AFL). Abstract Introduction Typical atrialflutter (AFL) is a macroreentrant tachycardia in which intracardiac conduction rotates counterclockwise around the tricuspid annulus.
Physiologically — the most commonly observed pattern of AFlutter, known as " Typical " AFlutter — produces 2:1 negative deflections seen in the inferior leads ( as seen in Figure-3 ) — as a result of CCW ( C ounter C lock W ise ) rotation of a fixed reentrant circuit around the tricuspid valve annulus and through the cavo-tricuspid isthmus.
In all probability, this dilation is a form of atrialtachycardia and atrial cardiomyopathy. However, underlying lesions such as hypertension, mitral valve disease, COPD, ASD, and TR greatly influence the degree of atrial enlargement. We know atrialflutters can be confined to one atrium.
Introduction:Supraventricular tachycardia (SVT) is common and poorly tolerated in patients who have undergone Fontan procedure. AtrialTachycardia (70%) and Typical AtrialFlutter (65%) were the most common SVTs ablated. Circulation, Volume 150, Issue Suppl_1 , Page A4142266-A4142266, November 12, 2024.
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