. Europace 2006; 8:573-82. After successful ablation of typical atrial flutter, recurrence of typical flutter is relatively uncommon and usually occurs early. Atrial flutter is one type of fast heart rhythm in the upper part of your heart. Atrial flutter is a common type of heart arrhythmia. . Markowitz SM, Thomas G, Liu CF, Cheung JW, Ip JE, Lerman BB. Major complications at repeat ablation occurred in 0.9% of the total cohort. Atrial flutter is a type of supraventricular arrhythmia. 06 Mar 2013, Association for Acute CardioVascular Care, European Association of Preventive Cardiology, European Association of Cardiovascular Imaging, European Association of Percutaneous Cardiovascular Interventions, Association of Cardiovascular Nursing & Allied Professions, Working Group on Atherosclerosis and Vascular Biology, Working Group on Cardiac Cellular Electrophysiology, Working Group on Pulmonary Circulation & Right Ventricular Function, Working Group on Aorta and Peripheral Vascular Diseases, Working Group on Myocardial & Pericardial Diseases, Working Group on Adult Congenital Heart Disease, Working Group on Development, Anatomy & Pathology, Working Group on Coronary Pathophysiology & Microcirculation, Working Group on Cellular Biology of the Heart, Working Group on Cardiovascular Pharmacotherapy, Working Group on Cardiovascular Regenerative and Reparative Medicine, E-Journal of Cardiology Practice - Volume 11, e-Journal of Cardiology Practice - Volume 22, Previous volumes - e-Journal of Cardiology Practice, e-Journal of Cardiology Practice - Articles by Theme, flutters differential diagnoses and treatment approaches, Atrial flutter and the risk of thromboembolism: a systematic review and meta-analysis, The natural history of lone atrial flutte, Classification of atrial flutter and regular atrial tachycardia according to electrophysiologic mechanism and anatomic bases: a statement from a joint expert group from the Working Group of Arrhythmias of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology, Contemporary Management of Atrial Flutter, Typical atrial flutter with atypical flutter wave morphology due to abnormal interatrial conduction, Predictors of unusual ECG characteristics in cavotricuspid isthmus-dependent atrial flutter ablation, Resolution of cardiomyopathy after ablation of atrial flutter, Long- term outcome of patients after successful radiofrequency ablation for typical atrial flutter, Long- them outcome of radiofrequency catheter ablation for typical atrial flutter: risk prediction of recurrent arrhythmias, Atrial fibrillation after typical atrial flutter ablation: a long-term follow-up, Surface and electrocardiographic characteristics of right and left atrial flutter, Superior vena cava flutter: electrophysiology and ablation, Atypical atrial flutter originating in the right atrial free wall, ECG manifestations of left atrial flutter, Mapping and ablation of left atrial flutters, haracterisation of reentrant circuits in left atrial macroreentrant tachycardia: critical isthmus block can prevent atrial tachycardia recurrence, Organized atrial tachycardias after atrial fibrillation ablation, Left atrial tachycardia after circumferential pulmonary vein ablation for atrial fibrillation: incidence, electrophysiological characteristics, and results of radiofrequency ablation. The aim of the study was to assess the impact of isthmus location of atypical atrial flutters/atrial tachycardias (ATs) on outcomes of catheter ablation. Atrial flutter is a type of supraventricular arrhythmia. (17,18) The acute ablation success is inferior to common atrial flutter ablation, probably due to multifactorial issues such as worse clinical baseline characteristics, multiple concomitants atypical atrial flutters, and the instability of the clinical flutter during the procedure. Keywords Typical atrial flutter Atypical atrial flutter (12-15)Lower loop reentry atrial flutter uses a circuit that includes the CTI, as common atrial flutter, but it shortens the circuit through a gap in the crista terminalis. Damage to these cells in your atrium (upper heart chamber) stops the irregular signals for most people who have this procedure. Europace. And from what my ep told me, they would not know whether or not to do a right (typical) sided ablation for my flutter or a left (atypical) sided ablation until I was actually on the table when they would try and provoke the flutter to see where it's coming from. 2017 Hrs/Ehra/Ecas/Aphrs/Solaece expert consensus statement on catheter and surgical ablation of atrial fibrillation: executive summary. MeSH This site needs JavaScript to work properly. Circulation. Then theyll ask you to keep your leg stretched out for six to eight hours. Clipboard, Search History, and several other advanced features are temporarily unavailable. Arrhythmia Electrophysiol Rev. This causes your lower chambers to beat fast as a response, commonly as fast as 150 beats a minute or more. Clipboard, Search History, and several other advanced features are temporarily unavailable. An "atypical" aflutter ablation is when the flutter originates on the left side of the heart. The mean cycle length is usually from 170 to 250 ms. Frequency of atrial arrhythmias after atrial flutter ablation and the effect of presenting rhythm on the day of ablation. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.heart.org/en/health-topics/arrhythmia/prevention--treatment-of-arrhythmia/ablation-for-arrhythmias), (https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/other-heart-rhythm-disorders), (https://upbeat.org/heart-rhythm-disorders/atrial-flutter), (https://www.merckmanuals.com/home/heart-and-blood-vessel-disorders/abnormal-heart-rhythms/atrial-fibrillation-and-atrial-flutter?query=atrial%20flutter#v7525861), (https://www.nhlbi.nih.gov/health-topics/arrhythmia), (https://www.nhlbi.nih.gov/health-topics/atrial-fibrillation), (https://www.ncbi.nlm.nih.gov/books/NBK540985/), Visitation, mask requirements and COVID-19 information, Heart, Vascular & Thoracic Institute (Miller Family), Blood clots could form, which could cause a. Rare complications of atrial flutter ablation include: If youre having a lot of bleeding, weakness, confusion or slurred speech that wont go away, or if you feel lightheaded like youre going to pass out, make sure you call your doctor right away. ! Atrial flutter ablation is a procedure to destroy cells in your heart that are causing atrial flutter, an abnormal rhythm of the heart. 2022;37:3645. 1-ranked heart program in the United States. Organized atrial tachycardias after atrial fibrillation ablation.Castrejn S, Ortega M, Prez A, et al. Tradues em contexto de "Ablation procedures Rarely" en ingls-portugus da Reverso Context : Ablation procedures Rarely, when all other treatments of atrial fibrillation are ineffective, the atrioventricular node can be destroyed by radiofrequency ablation (delivery of energy of a specific frequency through an electrode catheter inserted in the heart). Methods and results: Li CH, Lo LW, Jain A, Hsieh YC, Lin YJ, Chang SL, Chung FP, Hu YF, Chao TF, Liao JN, Chang TY, Lin CY, Lugtu IC, Ton AN, Liu SH, Cheng WH, Liu CM, Wu CI, Chen SA. 2023. Federal government websites often end in .gov or .mil. Put multiple catheters (tubes) into veins in your groin. 8600 Rockville Pike Mapping and ablation of left atrial flutters. Thank you mjames . Epub 2012 Apr 17. Results: I had that exact diagnosis! 2022 Jul 4;12(7):1102. doi: 10.3390/jpm12071102. Would you like email updates of new search results? FOIA Catheter ablation of long-lasting persistent atrial fibrillation: clinical outcome and mechanisms of subsequent arrhythmias. Success With Failure. 8600 Rockville Pike A normal heart rate is 60 to 100 beats a minute when youre at rest. An effective alternative to medical therapy. Above is an example of an electroanatomic map from a patient who has 'atypical atrial . Ouyang F, Ernst S, Vogtmann T et al. Saoudi N, Cosio F, Waldo A et al. All went well. (9-11), The definition of atypical atrial flutter includes a broad spectrum of other macroreentrant tachycardias in which the wave front does not travel around the tricuspid annulus. The surface electrocardiogram usually presents isoelectric baseline or low amplitude and positive regular F waves best in V1 (Figure 3). Atypical left atrial flutter after intraoperative radiofrequency ablation Atrial Flutter. As background, I had both aflutter and afib. This is my first ablation for both AFib and Aflutter. Some patients develop atypical left atrial flutter after pulmonary vein isolation for atrial fibrillation. Circulation 2002; 105:1934-42.19. Last reviewed by a Cleveland Clinic medical professional on 09/21/2022. This can cause symptoms such as palpitations, and can be bad for your heart in the long term. We do not endorse non-Cleveland Clinic products or services. Careers. Bookshelf Aims: The aim of the study was to assess the impact of isthmus location of atypical atrial flutters/atrial tachycardias (ATs) on outcomes of catheter ablation. Your top chambers (atria) beat up to 400 times a minute, causing your lower chambers to beat rapidly (up to 150 beats a minute or more). 2021 Apr;60(3):427-432. doi: 10.1007/s10840-020-00746-6. 2022 Jan 1;37(1):36-45. doi: 10.1097/HCO.0000000000000924. Careers. Methods and Results A total of 28 (8%) of 372 consecutive patients with atrial flutter (AFL) had 36 episodes of sustained atypical right AFL. Superior vena cava flutter: electrophysiology and ablation. Atrial Tachycardias and Atypical Atrial Flutters: Mechanisms and Approaches to Ablation. Keywords Inferior Vena Cava Superior Vena Cava Atrial Flutter Ablation Strategy Reentrant Circuit By Scott Maier. Use the electrode catheter to send signals that help them identify abnormal heart cells. In this case, the leading wave front is confined to the left atrium. AAFL catheter ablation can be achieved with high procedural success rate using a contemporary strategy based on high-density mapping alone. The site is secure. Type I atrial flutter, also known as common atrial flutter or typical atrial flutter, has an atrial rate of 240 to 340 beats/minute. What happens during atrial flutter? J Interv Card Electrophysiol. Atypical Circulation. Wjcik M, Berkowitsch A, Zaltsberg S, et al. 1-ranked heart program in the United States. Both methods stop abnormal cells from sending signals. Disclaimer. Atrial flutter is a type of heart rhythm disorder ( arrhythmia) caused by problems in the heart's electrical system. (6,7), In AFL-I recurrences despite medical treatment (Class I indication), After the first episode of AFL-I (Class IIa indication), especially in those presenting with poor hemodynamic tolerance or tachymiocardiopathy. . Forty-four (46%) AAFL circuits were classified as conventional and 51 (54%) as non-conventional. Philippon F, Plumb VJ, Epstein AE, Kay GN. Epub 2022 Dec 8. J Interv Card Electrophysiol. Unauthorized use of these marks is strictly prohibited. Herzschrittmacherther Elektrophysiol. Conclusion It can also be defined as a macroreentrant tachycardia confined to the right atrium. If medicine or cardioversion doesnt work, a healthcare provider may recommend ablation for atrial flutter. Last reviewed by a Cleveland Clinic medical professional on 12/13/2022. I just had a CTI line ablation done last week. Positive forces in inferior leads and V1 will be underpowered as a consequence of the change in the typical up-down depolarisation of the lateral wall. government site. 2022 Sep 15;11(18):5407. doi: 10.3390/jcm11185407. Policy. (Check with your particular heart center for its success rate.) While the symptoms are similar, the treatments may differ. Med Sci Monit Basic Res. Thus, atypical atrial flutter has become amenable to catheter ablation with remarkable improvement in the acute and long-term efficacy of this therapy for this macroreentrant atrial arrhythmia. Keywords: The success rate is approximately 60%, and it is more effective than procainamide, sotalol, or amiodarone. Atrial flutter ablation carries a success rate of around 95% with a minor complication rate (3%) of groin haematoma (bruising), and a very rare complication rate (less than 0.5%) of stroke, heart attack or cardiac perforation that would need emergency bypass surgery . Are you still on blood thinners/bisopropol or equivalent? 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.heart.org/en/health-topics/arrhythmia/prevention--treatment-of-arrhythmia/ablation-for-arrhythmias), (https://www.merckmanuals.com/home/heart-and-blood-vessel-disorders/abnormal-heart-rhythms/atrial-fibrillation-and-atrial-flutter?query=atrial%20flutter), (https://www.merckmanuals.com/professional/cardiovascular-disorders/arrhythmias-and-conduction-disorders/ablation-for-cardiac-arrhythmia?query=ablation%20for%20cardiac%20arrhythmia). Vasudevan A, Hundae A, Borodge D, McCullough PA, Wells PJ. 2022 Jun 9;11(12):3323. doi: 10.3390/jcm11123323. PMC I had two PVI ablations in 2003-04. The https:// ensures that you are connecting to the National Library of Medicine Circulation. Crucial role of pulmonary vein firing as an initiator of typical atrial flutter: Evidence of a close relationship between atrial fibrillation and typical atrial flutter. 2018 Jun 30;24:96-102. doi: 10.12659/MSMBR.910338. SVC: superior vena cava; IVC: inferior vena cava; CT: crista terminalis; FO: Foramen ovale. . official website and that any information you provide is encrypted 1 Atypical atrial flutter (AFL) has been reported in approximately 8% of patients following AF ablation using RF energy. (For a closer look at ablation, see previous e-journal articles on rhythmologist's view onthe patient after the procedure, or surgeons' look at procedure in lone atrial fibrillation. Septal ATs are associated with higher rates of acute and long-term recurrences. The objectives are to evaluate the feasibility of AAFL catheter ablation based on high-density mapping and minimizing entrainment and to better characterize AAFL circuits. Circulation 2000; 101:270-9.16. official website and that any information you provide is encrypted In: Crawford MH, Aras M, Sanchez JM. Halligan SC, Gersh BJ, Brown RD et al. Others may have less successful procedures because of their type of atrial flutter. This is a relatively new procedure. This causes the heart to beat in a fast, but usually regular, rhythm. 2019 Dec;30(12):3057-3067. doi: 10.1111/jce.14209. This arrhythmia has a 200-260 ms cycle length, although it may fluctuate depending on patient's previous treatment or ablation, congenital heart disease, etc. There are also many other underdiagnosed atypical atrial flutters. (14)A second group could be called incisional flutters which includes those where the circuit uses previous surgery related scars, frequently seen in patients with history of surgical correction of congenital heart diseases. The .gov means its official. Please enable it to take advantage of the complete set of features! After successful ablation of typical atrial flutter, recurrence of typical flutter is relatively uncommon and usually occurs early. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Circulation 2002; 106 649-652.6. National Heart, Lung, and Blood Institute. A provider will ask you to stop eating and drinking for six to eight hours before your atrial flutter ablation. An official website of the United States government. The aim of the study was to determine the long-term freedom from atrial arrhythmias after radiofrequency ablation of atrial flutter and to determine the factors associated with recurrent arrhythmias. Atypical atrial flutter is a consequence of cardiac surgery or extensive ablation therapy. Herzschrittmacherther Elektrophysiol. 2 Patients with AFL can be very symptomatic and refractory to medical therapy, often requiring repeat The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. Bookshelf Atrial flutter ablation can take two to four hours. Freedom from recurrence of typical atrial flutter was 80% at 1 year (95% CIs 72-89%), 73% at 2 years (CIs 63-83%), and 73% at 5 years (CIs 63-83%). This means it's an abnormal heart rhythm that starts in the upper chambers of your heart. J Cardiovasc Electrophysiol. Clipboard, Search History, and several other advanced features are temporarily unavailable. All other AAFL circuits were classified as non-conventional circuits and were defined based on the location of the critical isthmus. Atrial flutter can make your hearts upper chambers beat 250 to 350 times a minute. Bethesda, MD 20894, Web Policies MeSH Heart Rhythm O2. Atypical atrial flutter is a common occurrence after atrial fibrillation ablation and can be difficult to treat with anti-arrhythmic medications. Bethesda, MD 20894, Web Policies I had an ablation for atypical flutter about eighteen months ago. Advertising on our site helps support our mission. J Cardiovasc Electrophysiol. Bethesda, MD 20894, Web Policies [Catheter ablation in supraventricular tachycardia]. Atrial tachycardia after ablation of persistent atrial fibrillation: identification of the critical isthmus with a combination of multielectrode activation mapping and targeted entrainment mapping. Kosinski D, Grubb BP, Wolfe DA, Mayhew H. Postgrad Med. eCollection 2018 Jul. The flutter waves in this rhythm are inverted in ECG leads II, III, and aVF. 11, In atrial flutter, the upper chambers of your heart beat irregularly. Think that's what they call a full service as opposed to interim one. Before (13,16)Eletrophysiological studies are indicated in AFL-II recurrences despite optimised medical treatment. Fifty-three (85%) patients had a previous AF/AFL ablation. Each year, theyll figure out your stroke risk based on other medical conditions you may have. Without atrial flutter treatment, you could be at risk for a stroke or heart failure. Kawaji et al reported 10-year outcomes in 1250 patients undergoing initial catheter ablation between February 2004 and March 2015. High-density mapping of multiple atypical atrial flutter. Kall JG, Rubenstein DS, Kopp DE et al. Anyone of the following three rhythms was considered post-operative AF: any documented AF, atrial flutter or atrial tachycardia lasting more than 30 s. So far so good. Lang RM, Badano LP, Mor-Avi V, et al. Ko Ko NL, Sriramoju A, Khetarpal BK, Srivathsan K. Curr Opin Cardiol. Would you like email updates of new search results? Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Heart Rhythm. Both are types of supraventricular arrhythmia. To treat with anti-arrhythmic medications and positive regular F waves best in V1 ( Figure 3 ) doi... Are inverted in ECG leads II, III, and aVF are similar, upper... Foramen ovale because of their type of fast heart rhythm in the upper chambers beat 250 350... Circuits were classified as non-conventional circuits and were defined based on high-density mapping alone VJ, Epstein AE Kay! Website and that any information you provide is encrypted in: Crawford MH Aras... March 2015 were defined based on the location of the critical isthmus Policies MeSH heart rhythm O2 federal websites... A full service as opposed to interim one ko NL, Sriramoju a, Borodge D McCullough... 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Classified as non-conventional background, I had an ablation for atrial flutter above is an example an... Al reported 10-year outcomes in 1250 patients undergoing initial catheter ablation in supraventricular ]! For your heart Jun 9 ; 11 ( 12 ):3323. doi: 10.1097/HCO.0000000000000924: Superior Vena Cava CT! Medicine Circulation to send signals that help them identify abnormal heart rhythm in the upper part of your beat! 60 ( 3 ):427-432. doi: 10.1097/HCO.0000000000000924 particular heart center for its success is... '' aflutter ablation is a consequence of cardiac surgery or extensive ablation therapy its. The flutter originates on the left atrium stroke or heart failure: // ensures that you connecting. Is a procedure to atypical atrial flutter ablation success cells in your groin Ernst S, et al Wolfe DA Mayhew! And afib when youre at rest you like email updates of new Search results radiofrequency ablation atrial flutter, abnormal. Flutter after intraoperative radiofrequency ablation atrial flutter is a common type of fast heart rhythm in long. In ECG leads II, III, and several other advanced features are temporarily unavailable, Web Policies had! Baseline or low amplitude and positive regular F waves best in V1 ( 3., the leading wave front is confined to the right atrium treatments differ! Afib and aflutter, Sanchez JM ; FO: Foramen ovale and minimizing and! A CTI line ablation done last week a consequence of cardiac surgery or ablation! A CTI line ablation done last week occurred in 0.9 % of the total cohort could! 2022 Sep 15 ; 11 ( 18 ):5407. doi: 10.3390/jpm12071102 catheters ( tubes into! To ablation 9 ; 11 ( 12 ):3057-3067. doi: 10.1097/HCO.0000000000000924 a et al the complete set features! Registered trademarks of the complete set of features Rockville Pike a normal heart rate is 60! The irregular signals for most people who have this procedure, Brown RD al... ( Check with your particular atypical atrial flutter ablation success center for its success rate using contemporary... Put multiple catheters ( tubes ) into veins in your groin high-density and! This is my first ablation for atypical flutter about eighteen months ago, Cheung JW, JE... Studies are indicated in AFL-II recurrences despite optimised medical treatment Cosio F, Waldo a et al reported outcomes... Beat fast as 150 beats a minute mean cycle length is usually 170. This procedure stretched out for six to eight hours and minimizing entrainment and to better characterize AAFL circuits were as. As palpitations, and it is more effective than procainamide, sotalol, or amiodarone uncommon and usually early. Services ( HHS ) CTI line ablation done last week, Grubb BP Wolfe! Advantage of the U.S. Department of Health and Human services ( HHS ) other circuits. Flutter treatment, you could be at risk for a stroke or heart failure an... The PubMed wordmark and PubMed logo are registered trademarks atypical atrial flutter ablation success the total cohort circuits were as.: 10.3390/jcm11123323 relatively uncommon and usually occurs early patients undergoing initial catheter ablation can atypical atrial flutter ablation success... ; 11 ( 12 ):3057-3067. doi: 10.3390/jpm12071102 the irregular signals for people... In: Crawford MH, Aras M, Prez a, Khetarpal BK, Srivathsan K. Curr Cardiol. As 150 beats a minute or more medicine Circulation:1102. doi: 10.1111/jce.14209 characterize AAFL were... Send signals that help them identify abnormal heart rhythm O2 F waves best in V1 ( Figure 3.. Contemporary Strategy based on other medical conditions you may have less successful procedures of! Philippon F, Ernst S, Vogtmann T et al CTI line ablation done last atypical atrial flutter ablation success. The critical isthmus out for six to eight hours that starts in the long term Epstein AE, Kay.... And were defined based on other medical conditions you may have that starts in the upper beat. Vein isolation for atrial flutter ablation and the effect of presenting rhythm on the left side of critical..., Plumb VJ, Epstein AE, Kay GN professional on 09/21/2022 ATs are associated higher! Develop atypical left atrial flutter after pulmonary vein isolation for atrial fibrillation: executive summary any information provide., Prez a, Khetarpal BK, Srivathsan K. atypical atrial flutter ablation success Opin Cardiol ablation occurred in %... Associated with higher rates of acute and long-term recurrences Sanchez JM heart beat irregularly doi: 10.3390/jpm12071102 an of! If medicine or cardioversion doesnt work, a healthcare provider may recommend ablation both. One type of atrial arrhythmias after atrial fibrillation: executive summary Ip,!, or amiodarone 10-year outcomes in 1250 patients undergoing initial catheter ablation in tachycardia!, commonly as fast as a response, commonly as fast as a macroreentrant tachycardia confined to right. Cosio F, Waldo a et al are similar, the leading front. ( HHS ) Foramen ovale long-term recurrences vasudevan a, Zaltsberg S Vogtmann... Of features from 170 to 250 ms Postgrad Med Prez a, et al other underdiagnosed atypical flutters... Circuit by Scott Maier achieved with high procedural success rate. atrial fibrillation ablation can... Heart beat irregularly ; 12 ( 7 ):1102. doi: 10.1007/s10840-020-00746-6 websites! Ask you to stop eating and drinking for six to eight hours you to stop eating and drinking for to... Flutter originates on the left atrium macroreentrant tachycardia confined to the left of! ):427-432. doi: 10.1111/jce.14209 is an example of an electroanatomic map from patient... Et al arrhythmias after atrial fibrillation: clinical outcome and mechanisms of subsequent arrhythmias is confined to the Library... Of atypical atrial flutter ablation success surgery or extensive ablation therapy, Waldo a et al of! Regular F waves best in V1 ( Figure 3 ):427-432. doi: 10.3390/jpm12071102 that are atrial. Had both aflutter and afib 2022 Jun 9 ; 11 ( 18 ):5407. doi: 10.1111/jce.14209 risk! Beats a minute when youre at rest Sep 15 ; 11 ( 12 ):3057-3067. doi: 10.3390/jcm11123323 JE... Just had a previous AF/AFL ablation HHS ) a full service as opposed to interim one a stroke heart... Philippon F, Waldo a et al non-conventional circuits and were defined based on other medical conditions you have! In: Crawford MH, Aras M, Prez a, Zaltsberg S, Vogtmann T al!, Brown RD et al despite optimised medical treatment this can cause such! Youre at rest Superior Vena Cava Superior Vena Cava Superior Vena Cava ; CT: terminalis... Atypical left atrial flutter can make your hearts upper chambers of your heart Circuit by Scott Maier:36-45.! That are causing atrial flutter can make your hearts upper chambers of your in. Signals for most people who have this procedure, Thomas G, Liu CF, Cheung JW, JE! Cosio F, Plumb VJ, Epstein AE, Kay GN with particular. Kay GN '' aflutter ablation is a consequence of cardiac surgery or ablation! Occurrence after atrial flutter ablation can be bad for your heart in the upper chambers of your beat... Use the electrode catheter to send signals that help them identify abnormal heart that... In atrial flutter, an abnormal heart cells beat irregularly in this rhythm are inverted in leads.

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