Characteristics of patients with atrial flutter and spontaneous 1:1 atrioventricular conduction with and without anti-arrhythmic drug treatment

Atrial flutter (AFL) is a large reentrant circuit located in the right atrium. Anti-arrhythmic drugs (AADs) can provoke AFL with 1:1 atrioventricular conduction (AVC) to cause hemodynamic collapse. We elucidated the characteristics of patients with AFL exhibiting spontaneous 1:1 AVC. Fifteen patient...

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Veröffentlicht in:Heart and vessels 2022-05, Vol.37 (5), p.788-793
Hauptverfasser: Ito-Hagiwara, Kanako, Iwasaki, Yu-ki, Fujimoto, Yuhi, Oka, Eiichiro, Hayashi, Hiroshi, Yamamoto, Teppei, Yodogawa, Kenji, Hayashi, Meiso, Miyauchi, Yasushi, Shimizu, Wataru
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Sprache:eng
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Zusammenfassung:Atrial flutter (AFL) is a large reentrant circuit located in the right atrium. Anti-arrhythmic drugs (AADs) can provoke AFL with 1:1 atrioventricular conduction (AVC) to cause hemodynamic collapse. We elucidated the characteristics of patients with AFL exhibiting spontaneous 1:1 AVC. Fifteen patients (1:1 AFL group; 11 males, 52.4 ± 13.7 years old) who documented AFL with 1:1 AVC were enrolled and compared to 153 patients without 1:1 AVC (Control group; 137 males, 68.9 ± 11.2 years old). AFL cycle length during maximum AVC was significantly longer in the 1:1 AFL group than in the control group (274.7 ± 37.0 vs. 216.2 ± 25.6 ms, p  
ISSN:0910-8327
1615-2573
DOI:10.1007/s00380-021-01968-y