TY - JOUR 
A1 - Cosío, Francisco G.
T1 - Atrial Flutter, Typical and Atypical: A Review
Y1 - 2017
SN - 2050-3369

UR - http://hdl.handle.net/11268/7117
AB - 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.
KW - Taquicardia
KW - Corazón -- Enfermedades
KW - Fibrilación auricular
KW - Enfermedad cardiovascular
KW - Sistema cardiovascular
LA - eng
ER -