By Antonio Raviele
Written by way of world-renowned leaders within the fields of medical electrophysiology and arrhythmology, the amount has represented considering the fact that decades a biannual replace at the latest advances within the analysis, diagnosis and remedy of cardiac arrhythmias. the most chapters care for atrial traumatic inflammation and different supraventricular tachyarrhythmias, prognosis and administration of ventricular arrhythmias, danger stratification and prevention of unexpected loss of life in post-MI sufferers. The systematic and didactic method of every one subject makes the booklet a truly great tool for physicians operating within the box.
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Extra resources for Cardiac arrhythmias 2005: proceedings of the 9th international workshop on cardiac arrhythmias - Venice, October 2-5 2005
23. 24. 19 Yang Y, Cheng J, Bochoeyer A et al (2001) Atypical right atrial flutter patterns. Circulation103:3092–3098 Tai CT, Huang JL, Lin YK et al (2002) Noncontact three-dimensional mapping and ablation of upper loop re-entry originating in the right atrium. J Am Coll Cardiol 40:746–753 Nakagawa H, Shah N, Matsudaira K et al (2001) Characterization of reentrant circuit in macroreentrant right atrial tachycardia after surgical repair of congenital heart disease: isolated channels between scars allow ‘focal’ ablation.
Therefore, there is reasonable risk that ablation of flutter, despite the elimination of arrhythmia, may not resolve the clinical problem owing to the recurrence of AF. Electrophysiologic Relationships Between Atrial Fibrillation and Atrial Flutter The presence of AF and flutter in the same patient is related to multiple mechanisms. First, the same atrial anatomic substrate can facilitate both multiple wavelet re-entry of AF and right atrial macro re-entry of atrial flutter. Second, AF can trigger atrial flutter [8–14].
Clinical Implications AF occurs frequently after ablation, and its occurrence increases during the follow-up period. This is true both for patients with AF before the ablation and for those without. After 4 years, the probability of post-ablation AF was 68% for patients with pre-ablation AF and 52% for patients without pre- Atrial Fibrillation After Ablation of Atrial Flutter: Who Is at Risk? 37 ablation AF. This means that even patients with pre-ablation lone AFL are at high risk of developing AF as time passes.