Electrocardiographic Approach to Atrial Flutter: Classifications and Differential Diagnosis.

Atrial Flutter Catheter Ablation Diagnosis, Differential Electrocardiography Heart Atria Humans
Atrial flutter Atypical atrial flutter Common typical atrial flutter ECG recording Typical atrial flutter Uncommon typical atrial flutter

Journal

Cardiac electrophysiology clinics
ISSN: 1877-9190
Titre abrégé: Card Electrophysiol Clin
Pays: United States
ID NLM: 101549998

Informations de publication

Date de publication:
09 2022
Historique:
entrez: 24 9 2022
pubmed: 25 9 2022
medline: 28 9 2022
Statut: ppublish

Résumé

Atrial flutter (AFL) is a macro-reentrant arrhythmia characterized, in a 12 lead ECG, by the continuous oscillation of the isoelectric line in at least one lead. In the typical form of AFL, the oscillation is most obvious in the inferior leads, due to a macro-reentrant circuit localized in the right atrium, with the cavo-tricuspid isthmus as a critical zone.: This circuit can be activated in a counterclockwise or clockwise direction generating in II, III, and aVF leads, respectively, a slow descending/fast ascending F wave pattern (common form of typical AFL) or a balanced ascending/descending waveform (uncommon form of typical AFL). Atypical AFLs (scar-related) do not include the CTI in the circuit and show an extremely variable circuit location and ECG morphology.

Identifiants

DOI: 10.1016/j.ccep.2022.05.007 PMID: 36153121
pubmed: 36153121
pii: S1877-9182(22)00047-8
doi: 10.1016/j.ccep.2022.05.007
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

385-399

Informations de copyright

Copyright © 2022 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Disclosure A.D. Russo is a consultant for Abbott. All other authors declared no conflict of interest.

Auteurs

Giuseppe Bagliani (G)

Cardiology And Arrhythmology Clinic, University Hospital "Ospedali Riuniti", via Conca 71, 60100 Ancona, Italy; Department of Biomedical Sciences and Public Health, Marche Polytechnic University, Ancona, Italy. Electronic address: giuseppe.bagliani@tim.it.

Fabio M Leonelli (FM)

Cardiology Department, James A. Haley Veterans' Hospital, University of South Florida, 13000 Bruce B Down Boulevard, Tampa, FL 33612, USA; University of South Florida, 4202 East Fowler Avenue, Tampa, FL 33620, USA.

Roberto De Ponti (R)

Department of Heart and Vessels, Ospedale di Circolo, Viale Borri, 57, Varese 21100, Italy; Department of Medicine and Surgery, University of Insubria, Viale Guicciardini, 9, Varese 21100, Italy.

Michela Casella (M)

Cardiology And Arrhythmology Clinic, University Hospital "Ospedali Riuniti", via Conca 71, 60100 Ancona, Italy; Department of Clinical, Special and Dental Sciences, Marche Polytechnic University, Ancona, Italy.

Francesca Massara (F)

Cardiology And Arrhythmology Clinic, University Hospital "Ospedali Riuniti", via Conca 71, 60100 Ancona, Italy.

Paolo Tofoni (P)

Cardiology And Arrhythmology Clinic, University Hospital "Ospedali Riuniti", via Conca 71, 60100 Ancona, Italy.

Federico Guerra (F)

Cardiology And Arrhythmology Clinic, University Hospital "Ospedali Riuniti", via Conca 71, 60100 Ancona, Italy; Department of Biomedical Sciences and Public Health, Marche Polytechnic University, Ancona, Italy.

Giuseppe Ciliberti (G)

Cardiology And Arrhythmology Clinic, University Hospital "Ospedali Riuniti", via Conca 71, 60100 Ancona, Italy; Department of Biomedical Sciences and Public Health, Marche Polytechnic University, Ancona, Italy.

Antonio Dello Russo (AD)

Cardiology And Arrhythmology Clinic, University Hospital "Ospedali Riuniti", via Conca 71, 60100 Ancona, Italy; Department of Biomedical Sciences and Public Health, Marche Polytechnic University, Ancona, Italy.

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Classifications MeSH

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