Late atypical atrial flutter after ablation of atrial fibrillation Article Swipe
Raquel Ferreira
,
João Primo
,
Luís Adão
,
Anabela Gonzaga
,
Helena Gonçalves
,
Rui Santos
,
Paulo Fonseca
,
José Santos
,
Vasco Gama
·
YOU?
·
· 2016
· Open Access
·
· DOI: https://doi.org/10.1016/j.repce.2016.08.003
YOU?
·
· 2016
· Open Access
·
· DOI: https://doi.org/10.1016/j.repce.2016.08.003
Cardiac surgery for structural heart disease (often involving the left atrium) and radiofrequency catheter ablation of atrial fibrillation have led to an increased incidence of regular atrial tachycardias, often presenting as atypical flutters. This type of flutter is particularly common after pulmonary vein isolation, especially after extensive atrial ablation including linear lesions and/or defragmentation.The authors describe the case of a 51-year-old man, with no relevant medical history, referred for a cardiology consultation in 2009 for paroxysmal atrial fibrillation. After failure of antiarrhythmic therapy, he underwent catheter ablation, with criteria of acute success. Three years later he again suffered palpitations and atypical atrial flutter was documented. The electrophysiology study confirmed the diagnosis of atypical left flutter and reappearance of electrical activity in the right inferior pulmonary vein. This vein was again ablated successfully and there has been no arrhythmia recurrence to date.In an era of frequent catheter ablation it is essential to understand the mechanism of this arrhythmia and to recognize such atypical flutters. Resumo: A existência de cardiopatia estrutural, a história de cirurgia cardíaca prévia (frequentemente envolvendo a aurícula esquerda) e a ablação percutânea da fibrilhação auricular conduziram a um aumento da incidência de taquicardias auriculares regulares, frequentemente apresentando-se como flutters atípicos. Este tipo de flutter é particularmente frequente após isolamento das veias pulmonares, especialmente após extensa ablação auricular, incluindo lesões e/ou desfragmentação lineares.Os autores descrevem o caso de um homem, 51 anos de idade, sem antecedentes patológicos conhecidos, encaminhado para a consulta de cardiologia, em 2009, por fibrilhação auricular paroxística. Após insucesso da terapêutica antiarrítmica, foi referenciado para ablação percutânea, com critérios de sucesso agudo. Três anos depois, reiniciou queixas de palpitações e foi documentado flutter auricular atípico. O estudo eletrofisiológico confirmou o diagnóstico de flutter atípico esquerdo e reaparecimento de atividade elétrica na veia pulmonar inferior direita. Fez re-ablação da veia recanalizada com sucesso, sem qualquer recorrência arrítmica até ao momento.Na era da ablação percutânea, é essencial perceber o mecanismo da arritmia e reconhecer a existência destes flutters atípicos. Keywords: Atypical atrial flutter, Catheter ablation of atrial fibrillation, Re-ablation, Palavras-chave: Flutter auricular atípico, Ablação percutânea de fibrilhação auricular, Re-ablação
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1016/j.repce.2016.08.003
- OA Status
- hybrid
- Cited By
- 2
- References
- 13
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2520016802
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2520016802Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1016/j.repce.2016.08.003Digital Object Identifier
- Title
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Late atypical atrial flutter after ablation of atrial fibrillationWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2016Year of publication
- Publication date
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2016-10-01Full publication date if available
- Authors
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Raquel Ferreira, João Primo, Luís Adão, Anabela Gonzaga, Helena Gonçalves, Rui Santos, Paulo Fonseca, José Santos, Vasco GamaList of authors in order
- Landing page
-
https://doi.org/10.1016/j.repce.2016.08.003Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1016/j.repce.2016.08.003Direct OA link when available
- Concepts
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Medicine, Atrial flutter, Cardiology, Atrial fibrillation, Internal medicine, Pulmonary vein, Catheter ablation, Palpitations, AblationTop concepts (fields/topics) attached by OpenAlex
- Cited by
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2Total citation count in OpenAlex
- Citations by year (recent)
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2023: 1, 2019: 1Per-year citation counts (last 5 years)
- References (count)
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13Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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