Typical atrial flutter with atypical flutter wave morphology due to abnormal interatrial conduction.
نویسندگان
چکیده
We report a case of typical counterclockwise atrial flutter (AFL) with conduction block from right to left atrium along the coronary sinus (CS) musculature, confirmed by discontinuous CS activation sequence during pacing near the ostium and differential right atrial pacing. AFL was associated with an atypical flutter wave morphology, due to the detour of the activation wavefront from right to left atrium via alternate interatrial electrical connections, such as Bachmann's bundle, the interatrial septum, or both.
منابع مشابه
Dissimilar atrial rhythms. A patient with interatrial block.
A patient with type A Wolff-Parkinson-White syndrome and prolonged interatrial conduction intervals developed atrial flutter during the course of an electrophysiological study. The atrial flutter blocked along the left-to-right conduction pathways in a Wenckebach pattern. The dissimilar atrial rhythms of right atrial tachycardia and left atrial flutter evolved as the interatrial block increased...
متن کاملBayés syndrome and acute cardioembolic ischemic stroke
Bayés syndrome is an under-recognized clinical condition characterized by advanced interatrial block. Bayés syndrome is a subclinical disease that manifests electrocardiographically as a prolonged P wave duration > 120 ms with biphasic morphology ± in the inferior leads. The clinical relevance of Bayés syndrome lies in the fact that is a clear arrhythmological syndrome and has a strong associat...
متن کاملEffects of cavotricuspid isthmus ablation on atrioventricular node electrophysiology in patients with typical atrial flutter.
BACKGROUND The atrial musculature in the cavotricuspid isthmus is a part of posterior inputs to the AV node. In patients with typical atrial flutter, effects of radiofrequency ablation of this isthmus on AV node conduction are still unknown. METHODS AND RESULTS This study included 16 patients with clinically documented typical atrial flutter. Group 1 had 8 patients without and group 2 had 8 p...
متن کاملClass IC antiarrhythmic drug induced atrial flutter: electrocardiographic and electrophysiological findings and their importance for long term outcome after right atrial isthmus ablation.
OBJECTIVE To describe the electrocardiographic and electrophysiological findings of new atrial flutter developing in patients taking class IC antiarrhythmic drugs for recurrent atrial fibrillation, and to report the long term results of right atrial isthmus ablation in relation to the ECG pattern of spontaneous atrial flutter. DESIGN Retrospective analysis. SETTING Tertiary care academic ho...
متن کاملElectropharmacologic effects of class I and class III antiarrhythmia drugs on typical atrial flutter: insights into the mechanism of termination.
BACKGROUND Acute effects of class I and class III antiarrhythmia drugs on the reentrant circuit of typical atrial flutter are not fully studied. Furthermore, the critical electrophysiologic determinants of flutter termination by antiarrhythmia drugs are not clear. METHODS AND RESULTS The study population consisted of 36 patients (mean age, 53+/-17 years) with clinically documented typical atr...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Cardiology journal
دوره 18 4 شماره
صفحات -
تاریخ انتشار 2011