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dc.contributor.author | Cosío, Francisco G. | |
dc.date.accessioned | 2018-03-13T07:27:28Z | |
dc.date.available | 2018-03-13T07:27:28Z | |
dc.date.issued | 2017 | |
dc.identifier.citation | Cosío, F. G. (2017). Atrial Flutter, Typical and Atypical: A Review. Arrhythmia & Electrophysiology Review, 6(2), 55-62. DOI: 10.15420/aer.2017.5.2 | spa |
dc.identifier.issn | 2050-3369 | |
dc.identifier.issn | 2050-3377 | |
dc.identifier.uri | http://hdl.handle.net/11268/7117 | |
dc.description.abstract | Clinical electrophysiology has made the traditional classification of rapid atrial rhythms into flutter and tachycardia of little clinical use. Electrophysiological studies have defined multiple mechanisms of tachycardia, both re-entrant and focal, with varying ECG morphologies and rates, authenticated by the results of catheter ablation of the focal triggers or critical isthmuses of re-entry circuits. In patients without a history of heart disease, cardiac surgery or catheter ablation, typical flutter ECG remains predictive of a right atrial re-entry circuit dependent on the inferior vena cava-tricuspid isthmus that can be very effectively treated by ablation, although late incidence of atrial fibrillation remains a problem. Secondary prevention, based on the treatment of associated atrial fibrillation risk factors, is emerging as a therapeutic option. In patients subjected to cardiac surgery or catheter ablation for the treatment of atrial fibrillation or showing atypical ECG patterns, macro-re-entrant and focal tachycardia mechanisms can be very complex and electrophysiological studies are necessary to guide ablation treatment in poorly tolerated cases. | spa |
dc.description.sponsorship | Sin financiación | spa |
dc.language.iso | eng | spa |
dc.title | Atrial Flutter, Typical and Atypical: A Review | spa |
dc.type | article | spa |
dc.description.impact | 0.760 SJR (2017) Q2, 133/362 Cardiology and Cardiovascular Medicine, 52/102 Physiology (medical) | spa |
dc.identifier.doi | 10.15420/aer.2017.5.2 | |
dc.rights.accessRights | closedAccess | spa |
dc.subject.uem | Taquicardia | spa |
dc.subject.uem | Corazón -- Enfermedades | spa |
dc.subject.uem | Fibrilación auricular | spa |
dc.subject.unesco | Enfermedad cardiovascular | spa |
dc.subject.unesco | Sistema cardiovascular | spa |
dc.description.filiation | UEM | spa |
dc.relation.publisherversion | http://dx.doi.org/10.15420/aer.2017.5.2 | spa |
dc.peerreviewed | Si | spa |
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