Variable electrocardiographic characteristics of isthmus-dependent atrial flutter
The purpose of this study was to characterize variations in flutter-wave (F-wave) morphology among patients with clockwise isthmus-dependent (CWID) and counterclockwise isthmus-dependent (CCWID) right atrial flutter (AFL) and to attempt to correlate F-wave morphology with echocardiographic data and...
Gespeichert in:
Veröffentlicht in: | Journal of the American College of Cardiology 2002-09, Vol.40 (6), p.1125-1132 |
---|---|
Hauptverfasser: | , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 1132 |
---|---|
container_issue | 6 |
container_start_page | 1125 |
container_title | Journal of the American College of Cardiology |
container_volume | 40 |
creator | Milliez, Paul Richardson, Allison W Obioha-Ngwu, Ogundu Zimetbaum, Peter J Papageorgiou, Panos Josephson, Mark E |
description | The purpose of this study was to characterize variations in flutter-wave (F-wave) morphology among patients with clockwise isthmus-dependent (CWID) and counterclockwise isthmus-dependent (CCWID) right atrial flutter (AFL) and to attempt to correlate F-wave morphology with echocardiographic data and clinical patient characteristics.
Variations in F-wave morphology on surface electrocardiogram (ECG) during CCWID and CWID flutter have been reported but never systematically characterized.
Over a four-year period, 139 patients with AFL on ECG underwent electrophysiologic study and echocardiography at our institution. Electrocardiographic data, intracardiac recordings, echocardiographic data, and patient characteristics were reviewed retrospectively.
Of 156 AFLs evaluated, 130 were CCWID, 26 were CWID. Three types of CCWID flutter were observed: type 1 had purely negative F-waves inferiorly, types 2 and 3 had F-waves inferiorly with small (type 2) or broad (type 3) positive terminal deflections; CCWID flutter types 2 and 3 were associated with higher incidence of left atrial (LA) enlargement, heart disease, and atrial fibrillation (Afib) than type 1. Two types of CWID flutter were observed: type 1 had notched positive F-waves with a distinct isoelectric segment inferiorly. Type 2 had broader F-waves inferiorly with positive and negative components and a short isoelectric segment.
Variable ECG patterns for CCWID and CWID AFL exist. A positive component of the F-wave in the inferior leads during CCWID flutter is associated with an increased likelihood of heart disease, Afib, and LA enlargement. |
doi_str_mv | 10.1016/S0735-1097(02)02070-3 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_72134824</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0735109702020703</els_id><sourcerecordid>3242326841</sourcerecordid><originalsourceid>FETCH-LOGICAL-c520t-4f8a611115c9a7359b1a2c419b1f1f50d773d1010382d4e73f5ee6537a8a1b2f3</originalsourceid><addsrcrecordid>eNqFkdFKHDEUhkOp1FX7CC0DRdGL0ZNkMpm5kiKtCkIpam_D2eSkG5mdWZMZwbdv1l0qeGNuTi6-8_PnC2NfOJxy4PXZLWipSg6tPgZxAgI0lPIDm3GlmlKqVn9ks__ILttL6QEA6oa3n9guF1JVlWxn7PcfjAHnHRXUkR3jYDG6MPyNuFoEW9gFRrQjxZDGYFMx-CLfFssplY5W1DvqxwLHHNEVvpvGTB6wHY9dos_buc_uf_64u7gqb35dXl98vymtEjCWlW-w5vko22Lu2c45ClvxPD33CpzW0uWXgmyEq0hLr4hqJTU2yOfCy312tMldxeFxojSaZUiWug57GqZktOCyakSVwW9vwIdhin3uZriCmgstWpkptaFsHFKK5M0qhiXGZ8PBrI2bF-NmrdOAMC_GzXrv6zZ9mi_JvW5tFWfgcAtgstj5iL0N6ZWTrWgqUJk733CUpT0FiibZQL0lF2L-GeOG8E6Vf7dgnKw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1506127293</pqid></control><display><type>article</type><title>Variable electrocardiographic characteristics of isthmus-dependent atrial flutter</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>Milliez, Paul ; Richardson, Allison W ; Obioha-Ngwu, Ogundu ; Zimetbaum, Peter J ; Papageorgiou, Panos ; Josephson, Mark E</creator><creatorcontrib>Milliez, Paul ; Richardson, Allison W ; Obioha-Ngwu, Ogundu ; Zimetbaum, Peter J ; Papageorgiou, Panos ; Josephson, Mark E</creatorcontrib><description>The purpose of this study was to characterize variations in flutter-wave (F-wave) morphology among patients with clockwise isthmus-dependent (CWID) and counterclockwise isthmus-dependent (CCWID) right atrial flutter (AFL) and to attempt to correlate F-wave morphology with echocardiographic data and clinical patient characteristics.
Variations in F-wave morphology on surface electrocardiogram (ECG) during CCWID and CWID flutter have been reported but never systematically characterized.
Over a four-year period, 139 patients with AFL on ECG underwent electrophysiologic study and echocardiography at our institution. Electrocardiographic data, intracardiac recordings, echocardiographic data, and patient characteristics were reviewed retrospectively.
Of 156 AFLs evaluated, 130 were CCWID, 26 were CWID. Three types of CCWID flutter were observed: type 1 had purely negative F-waves inferiorly, types 2 and 3 had F-waves inferiorly with small (type 2) or broad (type 3) positive terminal deflections; CCWID flutter types 2 and 3 were associated with higher incidence of left atrial (LA) enlargement, heart disease, and atrial fibrillation (Afib) than type 1. Two types of CWID flutter were observed: type 1 had notched positive F-waves with a distinct isoelectric segment inferiorly. Type 2 had broader F-waves inferiorly with positive and negative components and a short isoelectric segment.
Variable ECG patterns for CCWID and CWID AFL exist. A positive component of the F-wave in the inferior leads during CCWID flutter is associated with an increased likelihood of heart disease, Afib, and LA enlargement.</description><identifier>ISSN: 0735-1097</identifier><identifier>EISSN: 1558-3597</identifier><identifier>DOI: 10.1016/S0735-1097(02)02070-3</identifier><identifier>PMID: 12354439</identifier><identifier>CODEN: JACCDI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Atrial Flutter - diagnostic imaging ; Atrial Flutter - physiopathology ; Atrial Function, Right - physiology ; Biological and medical sciences ; Cardiac arrhythmia ; Cardiology ; Cardiovascular disease ; Catheters ; Coronary vessels ; Echocardiography ; Electrocardiography ; Electrocardiography. Vectocardiography ; Electrodiagnosis. Electric activity recording ; Female ; Heart ; Heart Atria - diagnostic imaging ; Heart Atria - physiopathology ; Humans ; Hypertension ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Middle Aged ; Patients ; Retrospective Studies ; Sensitivity and Specificity</subject><ispartof>Journal of the American College of Cardiology, 2002-09, Vol.40 (6), p.1125-1132</ispartof><rights>2002 American College of Cardiology Foundation</rights><rights>2002 INIST-CNRS</rights><rights>Copyright Elsevier Limited Sep 18, 2002</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c520t-4f8a611115c9a7359b1a2c419b1f1f50d773d1010382d4e73f5ee6537a8a1b2f3</citedby><cites>FETCH-LOGICAL-c520t-4f8a611115c9a7359b1a2c419b1f1f50d773d1010382d4e73f5ee6537a8a1b2f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0735-1097(02)02070-3$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13928405$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12354439$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Milliez, Paul</creatorcontrib><creatorcontrib>Richardson, Allison W</creatorcontrib><creatorcontrib>Obioha-Ngwu, Ogundu</creatorcontrib><creatorcontrib>Zimetbaum, Peter J</creatorcontrib><creatorcontrib>Papageorgiou, Panos</creatorcontrib><creatorcontrib>Josephson, Mark E</creatorcontrib><title>Variable electrocardiographic characteristics of isthmus-dependent atrial flutter</title><title>Journal of the American College of Cardiology</title><addtitle>J Am Coll Cardiol</addtitle><description>The purpose of this study was to characterize variations in flutter-wave (F-wave) morphology among patients with clockwise isthmus-dependent (CWID) and counterclockwise isthmus-dependent (CCWID) right atrial flutter (AFL) and to attempt to correlate F-wave morphology with echocardiographic data and clinical patient characteristics.
Variations in F-wave morphology on surface electrocardiogram (ECG) during CCWID and CWID flutter have been reported but never systematically characterized.
Over a four-year period, 139 patients with AFL on ECG underwent electrophysiologic study and echocardiography at our institution. Electrocardiographic data, intracardiac recordings, echocardiographic data, and patient characteristics were reviewed retrospectively.
Of 156 AFLs evaluated, 130 were CCWID, 26 were CWID. Three types of CCWID flutter were observed: type 1 had purely negative F-waves inferiorly, types 2 and 3 had F-waves inferiorly with small (type 2) or broad (type 3) positive terminal deflections; CCWID flutter types 2 and 3 were associated with higher incidence of left atrial (LA) enlargement, heart disease, and atrial fibrillation (Afib) than type 1. Two types of CWID flutter were observed: type 1 had notched positive F-waves with a distinct isoelectric segment inferiorly. Type 2 had broader F-waves inferiorly with positive and negative components and a short isoelectric segment.
Variable ECG patterns for CCWID and CWID AFL exist. A positive component of the F-wave in the inferior leads during CCWID flutter is associated with an increased likelihood of heart disease, Afib, and LA enlargement.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Atrial Flutter - diagnostic imaging</subject><subject>Atrial Flutter - physiopathology</subject><subject>Atrial Function, Right - physiology</subject><subject>Biological and medical sciences</subject><subject>Cardiac arrhythmia</subject><subject>Cardiology</subject><subject>Cardiovascular disease</subject><subject>Catheters</subject><subject>Coronary vessels</subject><subject>Echocardiography</subject><subject>Electrocardiography</subject><subject>Electrocardiography. Vectocardiography</subject><subject>Electrodiagnosis. Electric activity recording</subject><subject>Female</subject><subject>Heart</subject><subject>Heart Atria - diagnostic imaging</subject><subject>Heart Atria - physiopathology</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Patients</subject><subject>Retrospective Studies</subject><subject>Sensitivity and Specificity</subject><issn>0735-1097</issn><issn>1558-3597</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkdFKHDEUhkOp1FX7CC0DRdGL0ZNkMpm5kiKtCkIpam_D2eSkG5mdWZMZwbdv1l0qeGNuTi6-8_PnC2NfOJxy4PXZLWipSg6tPgZxAgI0lPIDm3GlmlKqVn9ks__ILttL6QEA6oa3n9guF1JVlWxn7PcfjAHnHRXUkR3jYDG6MPyNuFoEW9gFRrQjxZDGYFMx-CLfFssplY5W1DvqxwLHHNEVvpvGTB6wHY9dos_buc_uf_64u7gqb35dXl98vymtEjCWlW-w5vko22Lu2c45ClvxPD33CpzW0uWXgmyEq0hLr4hqJTU2yOfCy312tMldxeFxojSaZUiWug57GqZktOCyakSVwW9vwIdhin3uZriCmgstWpkptaFsHFKK5M0qhiXGZ8PBrI2bF-NmrdOAMC_GzXrv6zZ9mi_JvW5tFWfgcAtgstj5iL0N6ZWTrWgqUJk733CUpT0FiibZQL0lF2L-GeOG8E6Vf7dgnKw</recordid><startdate>20020918</startdate><enddate>20020918</enddate><creator>Milliez, Paul</creator><creator>Richardson, Allison W</creator><creator>Obioha-Ngwu, Ogundu</creator><creator>Zimetbaum, Peter J</creator><creator>Papageorgiou, Panos</creator><creator>Josephson, Mark E</creator><general>Elsevier Inc</general><general>Elsevier Science</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20020918</creationdate><title>Variable electrocardiographic characteristics of isthmus-dependent atrial flutter</title><author>Milliez, Paul ; Richardson, Allison W ; Obioha-Ngwu, Ogundu ; Zimetbaum, Peter J ; Papageorgiou, Panos ; Josephson, Mark E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c520t-4f8a611115c9a7359b1a2c419b1f1f50d773d1010382d4e73f5ee6537a8a1b2f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Atrial Flutter - diagnostic imaging</topic><topic>Atrial Flutter - physiopathology</topic><topic>Atrial Function, Right - physiology</topic><topic>Biological and medical sciences</topic><topic>Cardiac arrhythmia</topic><topic>Cardiology</topic><topic>Cardiovascular disease</topic><topic>Catheters</topic><topic>Coronary vessels</topic><topic>Echocardiography</topic><topic>Electrocardiography</topic><topic>Electrocardiography. Vectocardiography</topic><topic>Electrodiagnosis. Electric activity recording</topic><topic>Female</topic><topic>Heart</topic><topic>Heart Atria - diagnostic imaging</topic><topic>Heart Atria - physiopathology</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Patients</topic><topic>Retrospective Studies</topic><topic>Sensitivity and Specificity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Milliez, Paul</creatorcontrib><creatorcontrib>Richardson, Allison W</creatorcontrib><creatorcontrib>Obioha-Ngwu, Ogundu</creatorcontrib><creatorcontrib>Zimetbaum, Peter J</creatorcontrib><creatorcontrib>Papageorgiou, Panos</creatorcontrib><creatorcontrib>Josephson, Mark E</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American College of Cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Milliez, Paul</au><au>Richardson, Allison W</au><au>Obioha-Ngwu, Ogundu</au><au>Zimetbaum, Peter J</au><au>Papageorgiou, Panos</au><au>Josephson, Mark E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Variable electrocardiographic characteristics of isthmus-dependent atrial flutter</atitle><jtitle>Journal of the American College of Cardiology</jtitle><addtitle>J Am Coll Cardiol</addtitle><date>2002-09-18</date><risdate>2002</risdate><volume>40</volume><issue>6</issue><spage>1125</spage><epage>1132</epage><pages>1125-1132</pages><issn>0735-1097</issn><eissn>1558-3597</eissn><coden>JACCDI</coden><abstract>The purpose of this study was to characterize variations in flutter-wave (F-wave) morphology among patients with clockwise isthmus-dependent (CWID) and counterclockwise isthmus-dependent (CCWID) right atrial flutter (AFL) and to attempt to correlate F-wave morphology with echocardiographic data and clinical patient characteristics.
Variations in F-wave morphology on surface electrocardiogram (ECG) during CCWID and CWID flutter have been reported but never systematically characterized.
Over a four-year period, 139 patients with AFL on ECG underwent electrophysiologic study and echocardiography at our institution. Electrocardiographic data, intracardiac recordings, echocardiographic data, and patient characteristics were reviewed retrospectively.
Of 156 AFLs evaluated, 130 were CCWID, 26 were CWID. Three types of CCWID flutter were observed: type 1 had purely negative F-waves inferiorly, types 2 and 3 had F-waves inferiorly with small (type 2) or broad (type 3) positive terminal deflections; CCWID flutter types 2 and 3 were associated with higher incidence of left atrial (LA) enlargement, heart disease, and atrial fibrillation (Afib) than type 1. Two types of CWID flutter were observed: type 1 had notched positive F-waves with a distinct isoelectric segment inferiorly. Type 2 had broader F-waves inferiorly with positive and negative components and a short isoelectric segment.
Variable ECG patterns for CCWID and CWID AFL exist. A positive component of the F-wave in the inferior leads during CCWID flutter is associated with an increased likelihood of heart disease, Afib, and LA enlargement.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>12354439</pmid><doi>10.1016/S0735-1097(02)02070-3</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0735-1097 |
ispartof | Journal of the American College of Cardiology, 2002-09, Vol.40 (6), p.1125-1132 |
issn | 0735-1097 1558-3597 |
language | eng |
recordid | cdi_proquest_miscellaneous_72134824 |
source | MEDLINE; Access via ScienceDirect (Elsevier); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
subjects | Adult Aged Aged, 80 and over Atrial Flutter - diagnostic imaging Atrial Flutter - physiopathology Atrial Function, Right - physiology Biological and medical sciences Cardiac arrhythmia Cardiology Cardiovascular disease Catheters Coronary vessels Echocardiography Electrocardiography Electrocardiography. Vectocardiography Electrodiagnosis. Electric activity recording Female Heart Heart Atria - diagnostic imaging Heart Atria - physiopathology Humans Hypertension Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Middle Aged Patients Retrospective Studies Sensitivity and Specificity |
title | Variable electrocardiographic characteristics of isthmus-dependent atrial flutter |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T03%3A32%3A36IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Variable%20electrocardiographic%20characteristics%20of%20isthmus-dependent%20atrial%20flutter&rft.jtitle=Journal%20of%20the%20American%20College%20of%20Cardiology&rft.au=Milliez,%20Paul&rft.date=2002-09-18&rft.volume=40&rft.issue=6&rft.spage=1125&rft.epage=1132&rft.pages=1125-1132&rft.issn=0735-1097&rft.eissn=1558-3597&rft.coden=JACCDI&rft_id=info:doi/10.1016/S0735-1097(02)02070-3&rft_dat=%3Cproquest_cross%3E3242326841%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1506127293&rft_id=info:pmid/12354439&rft_els_id=S0735109702020703&rfr_iscdi=true |