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Cavotricuspid isthmus-dependent atrial flutter: clinical perspectives

Authors Bun SS, Lațcu DG, Wedn AM, Hasni K, Saoudi N

Received 27 January 2019

Accepted for publication 3 April 2019

Published 26 April 2019 Volume 2019:10 Pages 7—17

DOI https://doi.org/10.2147/RRCC.S171326

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Melinda Thomas

Peer reviewer comments 2

Editor who approved publication: Dr Richard Kones


Sok-Sithikun Bun, Decebal Gabriel Lațcu, Ahmed Mostfa Wedn, Karim Hasni, Nadir Saoudi

Department of Cardiology, Princess Grace Hospital, Monaco (Principality), Monaco, Monaco

Abstract: The precise circuit of cavotricuspid isthmus (CTI)-dependent atrial flutters (AFLs) has been well characterized, but the recent arrival of ultrahigh-resolution mapping systems has further improved our understanding of this “old” arrhythmia. CTI-dependent AFL may be the arrhythmia for which the electrocardiograph (ECG) correlation with the mechanism may be the highest. Once the diagnosis is made (predominantly based upon the surface ECG), the therapeutic options are precisely defined, with radiofrequency catheter ablation representing an efficient strategy with a high success rate and few complications. This article will focus on the clinical perspectives for CTI-dependent AFL.

Keywords: typical atrial flutter, cavotricuspid isthmus-dependent, catheter ablation
 

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