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Europace 2002 4(3):229-239; doi:10.1053/eupc.2002.0251
© 2002 by European Society of Cardiology
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ATRIAL FLUTTER

Atypical atrial flutters

P. Ricard, M. Imianitoff, K. Yaïci, J. M. Coutelour, M. Bergonzi, J. P. Rinaldi and N. Saoudi

Centre Hospitalier Princess Grace Avenue Pasteur, 98012, Monaco

Abstract

Typical atrial flutter is due to a counterclockwise macrore-entry circuit localized in the right atrium with a surface ECG pattern showing predominantly negative F waves in the inferior leads and positive F waves in V1. Recently it has been proposed to classify atrial flutter on the basis of its cavo-tricuspid isthmus dependence rather than on the ECG pattern. Therefore some atrial flutters are considered typical even if the ECG does not exhibit a typical pattern. This is the case for reverse typical atrial flutter, lower loop re-entry and partial-isthmus-dependent short circuit flutter. The term atypical flutter refers to a non-isthmus dependent flutter. Usually these patients have had previous cardiac surgery with a right or left atriotomy. Flutter involving a spontaneous right atrial scar is not uncommon.

Key Words: Atrial flutter, common atrial flutter, typical atrial flutter, atypical atrial flutter, cavotricuspid isthmus re-entry arrhythmia, atrial scars

Correspondence: Nadir Saoudi MD, Centre Hospitalier Princesse Grace, Avenue Pasteur, 98012 Monaco (Principauté). Fax: 377 97 98 96 90; E-mail: nsaoudi{at}chpg.mc


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C. Medi and J. M. Kalman
Prediction of the atrial flutter circuit location from the surface electrocardiogram
Europace, July 1, 2008; 10(7): 786 - 796.
[Abstract] [Full Text] [PDF]


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