[Typical atrial flutter: Diagnosis and therapy].
Identifieur interne : 000032 ( Main/Exploration ); précédent : 000031; suivant : 000033[Typical atrial flutter: Diagnosis and therapy].
Auteurs : Dierk Thomas [Allemagne] ; Lars Eckardt [Allemagne] ; Heidi L. Estner [Allemagne] ; Malte Kuniss [Allemagne] ; Christian Meyer [Allemagne] ; Hans-Ruprecht Neuberger [Allemagne] ; Philipp Sommer [Allemagne] ; Daniel Steven [Allemagne] ; Frederik Voss [Allemagne] ; Hendrik Bonnemeier [Allemagne]Source :
- Herzschrittmachertherapie & Elektrophysiologie [ 1435-1544 ] ; 2016.
English descriptors
- KwdEn :
- Atrial Flutter (complications), Atrial Flutter (diagnosis), Atrial Flutter (therapy), Body Surface Potential Mapping (methods), Catheter Ablation (methods), Combined Modality Therapy (methods), Diagnosis, Differential, Electrocardiography (methods), Evidence-Based Medicine, Fibrinolytic Agents (administration & dosage), Thromboembolism (etiology), Thromboembolism (prevention & control), Treatment Outcome.
- MESH :
- chemical , administration & dosage : Fibrinolytic Agents.
- complications : Atrial Flutter.
- diagnosis : Atrial Flutter.
- etiology : Thromboembolism.
- methods : Body Surface Potential Mapping, Catheter Ablation, Combined Modality Therapy, Electrocardiography.
- prevention & control : Thromboembolism.
- therapy : Atrial Flutter.
- Diagnosis, Differential, Evidence-Based Medicine, Treatment Outcome.
Abstract
Typical, cavotricuspid-dependent atrial flutter is the most common atrial macroreentry tachycardia. The incidence of atrial flutter (typical and atypical forms) is age-dependent with 5/100,000 in patients less than 50 years and approximately 600/100,000 in subjects > 80 years of age. Concomitant heart failure or pulmonary disease further increases the risk of typical atrial flutter.Patients with atrial flutter may present with symptoms of palpitations, reduced exercise capacity, chest pain, or dyspnea. The risk of thromboembolism is probably similar to atrial fibrillation; therefore, the same antithrombotic prophylaxis is required in atrial flutter patients. Acutely symptomatic cases may be subjected to cardioversion or pharmacologic rate control to relieve symptoms. Catheter ablation of the cavotricuspid isthmus represents the primary choice in long-term therapy, associated with high procedural success (> 97 %) and low complication rates (0.5 %).This article represents the third part of a manuscript series designed to improve professional education in the field of cardiac electrophysiology. Mechanistic and clinical characteristics as well as management of isthmus-dependent atrial flutter are described in detail. Electrophysiological findings and catheter ablation of the arrhythmia are highlighted.
DOI: 10.1007/s00399-016-0413-y
PubMed: 26846223
Affiliations:
- Allemagne
- Bade-Wurtemberg, Bavière, District de Cologne, District de Haute-Bavière, District de Karlsruhe, District de Leipzig, District de Münster, Hambourg, Rhénanie-du-Nord-Westphalie, Saxe (Land), Schleswig-Holstein
- Cologne, Hambourg, Heidelberg, Kiel, Leipzig, Munich, Münster
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Le document en format XML
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sort="Eckardt, Lars" uniqKey="Eckardt L" first="Lars" last="Eckardt">Lars Eckardt</name><affiliation wicri:level="3"><nlm:affiliation>Abteilung für Rhythmologie, Department für Kardiologie und Angiologie, Universitätsklinikum Münster, Münster, Deutschland.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Abteilung für Rhythmologie, Department für Kardiologie und Angiologie, Universitätsklinikum Münster, Münster</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Münster</region><settlement type="city">Münster</settlement></placeName></affiliation></author><author><name sortKey="Estner, Heidi L" sort="Estner, Heidi L" uniqKey="Estner H" first="Heidi L" last="Estner">Heidi L. Estner</name><affiliation wicri:level="3"><nlm:affiliation>Medizinische Klinik und Poliklinik I, Universitätsklinikum München-Großhadern, München, Deutschland.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Medizinische Klinik und Poliklinik I, Universitätsklinikum München-Großhadern, München</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Kuniss, Malte" sort="Kuniss, Malte" uniqKey="Kuniss M" first="Malte" last="Kuniss">Malte Kuniss</name><affiliation wicri:level="1"><nlm:affiliation>Abteilung für Kardiologie, Kerckhoff Klinik, Bad Nauheim, Deutschland.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Abteilung für Kardiologie, Kerckhoff Klinik, Bad Nauheim</wicri:regionArea><wicri:noRegion>Bad Nauheim</wicri:noRegion><wicri:noRegion>Bad Nauheim</wicri:noRegion><wicri:noRegion>Bad Nauheim</wicri:noRegion></affiliation></author><author><name sortKey="Meyer, Christian" sort="Meyer, Christian" uniqKey="Meyer C" first="Christian" last="Meyer">Christian Meyer</name><affiliation wicri:level="3"><nlm:affiliation>Klinik für Kardiologie/Elektrophysiologie, Universitäres Herzzentrum Hamburg, Deutschland; DZHK, Standort Hamburg/Lübeck/Kiel, Hamburg, Deutschland.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Klinik für Kardiologie/Elektrophysiologie, Universitäres Herzzentrum Hamburg, Deutschland; DZHK, Standort Hamburg/Lübeck/Kiel, Hamburg</wicri:regionArea><placeName><settlement type="city">Hambourg</settlement><region type="land" nuts="2">Hambourg</region></placeName></affiliation></author><author><name sortKey="Neuberger, Hans Ruprecht" sort="Neuberger, Hans Ruprecht" uniqKey="Neuberger H" first="Hans-Ruprecht" last="Neuberger">Hans-Ruprecht Neuberger</name><affiliation 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dosage" xml:lang="en"><term>Fibrinolytic Agents</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Atrial Flutter</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Atrial Flutter</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Thromboembolism</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Body Surface Potential Mapping</term><term>Catheter Ablation</term><term>Combined Modality Therapy</term><term>Electrocardiography</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Thromboembolism</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Atrial Flutter</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Diagnosis, Differential</term><term>Evidence-Based Medicine</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Typical, cavotricuspid-dependent atrial flutter is the most common atrial macroreentry tachycardia. The incidence of atrial flutter (typical and atypical forms) is age-dependent with 5/100,000 in patients less than 50 years and approximately 600/100,000 in subjects > 80 years of age. Concomitant heart failure or pulmonary disease further increases the risk of typical atrial flutter.Patients with atrial flutter may present with symptoms of palpitations, reduced exercise capacity, chest pain, or dyspnea. The risk of thromboembolism is probably similar to atrial fibrillation; therefore, the same antithrombotic prophylaxis is required in atrial flutter patients. Acutely symptomatic cases may be subjected to cardioversion or pharmacologic rate control to relieve symptoms. Catheter ablation of the cavotricuspid isthmus represents the primary choice in long-term therapy, associated with high procedural success (> 97 %) and low complication rates (0.5 %).This article represents the third part of a manuscript series designed to improve professional education in the field of cardiac electrophysiology. Mechanistic and clinical characteristics as well as management of isthmus-dependent atrial flutter are described in detail. Electrophysiological findings and catheter ablation of the arrhythmia are highlighted.</div></front></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>Bade-Wurtemberg</li><li>Bavière</li><li>District de Cologne</li><li>District de Haute-Bavière</li><li>District de Karlsruhe</li><li>District de Leipzig</li><li>District de Münster</li><li>Hambourg</li><li>Rhénanie-du-Nord-Westphalie</li><li>Saxe (Land)</li><li>Schleswig-Holstein</li></region><settlement><li>Cologne</li><li>Hambourg</li><li>Heidelberg</li><li>Kiel</li><li>Leipzig</li><li>Munich</li><li>Münster</li></settlement></list><tree><country name="Allemagne"><region name="Bade-Wurtemberg"><name sortKey="Thomas, Dierk" sort="Thomas, Dierk" uniqKey="Thomas D" first="Dierk" last="Thomas">Dierk Thomas</name></region><name sortKey="Bonnemeier, Hendrik" sort="Bonnemeier, Hendrik" uniqKey="Bonnemeier H" first="Hendrik" last="Bonnemeier">Hendrik Bonnemeier</name><name sortKey="Eckardt, Lars" sort="Eckardt, Lars" uniqKey="Eckardt L" first="Lars" last="Eckardt">Lars Eckardt</name><name sortKey="Estner, Heidi L" sort="Estner, Heidi L" uniqKey="Estner H" first="Heidi L" last="Estner">Heidi L. Estner</name><name sortKey="Kuniss, Malte" sort="Kuniss, Malte" uniqKey="Kuniss M" first="Malte" last="Kuniss">Malte Kuniss</name><name sortKey="Meyer, Christian" sort="Meyer, Christian" uniqKey="Meyer C" first="Christian" last="Meyer">Christian Meyer</name><name sortKey="Neuberger, Hans Ruprecht" sort="Neuberger, Hans Ruprecht" uniqKey="Neuberger H" first="Hans-Ruprecht" last="Neuberger">Hans-Ruprecht Neuberger</name><name sortKey="Sommer, Philipp" sort="Sommer, Philipp" uniqKey="Sommer P" first="Philipp" last="Sommer">Philipp Sommer</name><name sortKey="Steven, Daniel" sort="Steven, Daniel" uniqKey="Steven D" first="Daniel" last="Steven">Daniel Steven</name><name sortKey="Voss, Frederik" sort="Voss, Frederik" uniqKey="Voss F" first="Frederik" last="Voss">Frederik Voss</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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