Typisches Vorhofflattern: Diagnostik und Therapie
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Typisches Vorhofflattern: Diagnostik und Therapie. / Thomas, Dierk; Eckardt, Lars; Estner, Heidi L; Kuniss, Malte; Meyer, Christian; Neuberger, Hans-Ruprecht; Sommer, Philipp; Steven, Daniel; Voss, Frederik; Bonnemeier, Hendrik.
in: Herzschrittmacherther Elektrophysiol, Jahrgang 27, Nr. 1, 03.2016, S. 46-56.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Review › Forschung
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TY - JOUR
T1 - Typisches Vorhofflattern: Diagnostik und Therapie
AU - Thomas, Dierk
AU - Eckardt, Lars
AU - Estner, Heidi L
AU - Kuniss, Malte
AU - Meyer, Christian
AU - Neuberger, Hans-Ruprecht
AU - Sommer, Philipp
AU - Steven, Daniel
AU - Voss, Frederik
AU - Bonnemeier, Hendrik
PY - 2016/3
Y1 - 2016/3
N2 - 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.
AB - 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.
KW - Atrial Flutter/complications
KW - Body Surface Potential Mapping/methods
KW - Catheter Ablation/methods
KW - Combined Modality Therapy/methods
KW - Diagnosis, Differential
KW - Electrocardiography/methods
KW - Evidence-Based Medicine
KW - Fibrinolytic Agents/administration & dosage
KW - Thromboembolism/etiology
KW - Treatment Outcome
U2 - 10.1007/s00399-016-0413-y
DO - 10.1007/s00399-016-0413-y
M3 - SCORING: Review
C2 - 26846223
VL - 27
SP - 46
EP - 56
JO - Herzschrittmacherther Elektrophysiol
JF - Herzschrittmacherther Elektrophysiol
SN - 1435-1544
IS - 1
ER -