Atypical Cases of Typical Atrial Flutter? A Case Study.

Atrial Flutter / surgery Catheter Ablation / methods Heart Atria Heart Block Humans Treatment Outcome
Atypical atrial flutter Catheter ablation Electroanatomic mapping Electrophysiologic study 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

Ablation of typical atrial flutter has a high safety and efficacy profile, but hidden pitfalls may be encountered. In some cases, a longer cycle length with isoelectric lines is associated with a different or more complex arrhythmogenic substrate, which may be missed if conduction block of the cavotricuspid isthmus is performed in the absence of the clinical arrhythmia. Prior surgery may have consistently modified the atrial substrate and complex or multiple arrhythmias associated with an isthmus-dependent circuit can be encountered. In these cases, electroanatomic mapping is useful to guide the procedure and plan an appropriate ablation strategy.

Identifiants

DOI: 10.1016/j.ccep.2022.03.004 PMID: 36153128
pubmed: 36153128
pii: S1877-9182(22)00018-1
doi: 10.1016/j.ccep.2022.03.004
pii:
doi:

Types de publication

Case Reports Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

483-494

Informations de copyright

Copyright © 2022 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Conflicts of interest disclosure Dr R. De Ponti has received fees for lectures and scientific cooperation from Biosense Webster.

Auteurs

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. Electronic address: roberto.deponti@uninsubria.it.

Jacopo Marazzato (J)

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.

Fabio Angeli (F)

Department of Medicine and Surgery, University of Insubria, Viale Guicciardini, 9, Varese 21100, Italy; Department of Medicine and Cardiopulmonary Rehabilitation, Maugeri Care and Research Institutes, IRCCS, Via Crotto Roncaccio, 16, Tradate, Varese 21049, Italy.

Manola Vilotta (M)

Department of Heart and Vessels, Ospedale di Circolo, Viale Borri, 57, Varese 21100, Italy.

Federico Blasi (F)

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.

Giuseppe Bagliani (G)

Cardiology and Arrhythmology Clinic, Marche Polytechnic University, University Hospital "Ospedali Riuniti Umberto I-Lancisi-Salesi", Via Conca 71, Ancona 60126, Italy.

Fabio M Leonelli (FM)

Cardiology Department, James A. Haley Veterans' Hospital, University of South Florida, 13000 Bruce B Down Boulevard, Tampa, FL 33612, USA.

Raffaella Marazzi (R)

Department of Heart and Vessels, Ospedale di Circolo, Viale Borri, 57, Varese 21100, Italy.

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Classifications MeSH

questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Troubles du rythme cardiaque › Flutter auriculaire › Atypical Cases of Typical Atrial Flutter? A Case Study.
questionsmedicales.fr › Procédures de chirurgie opératoire › Techniques d'ablation › Ablation par radiofréquence › Ablation par cathéter › Atypical Cases of Typical Atrial Flutter? A Case Study.
questionsmedicales.fr › Système cardiovasculaire › Coeur › Atrium du coeur › Atypical Cases of Typical Atrial Flutter? A Case Study.
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Troubles du rythme cardiaque › Bloc cardiaque › Atypical Cases of Typical Atrial Flutter? A Case Study.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Atypical Cases of Typical Atrial Flutter? A Case Study.
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Évaluation des résultats et des processus en soins de santé › Évaluation de résultat (soins) › Résultat thérapeutique › Atypical Cases of Typical Atrial Flutter? A Case Study.