AblationParoxysmalCardiac arrhythmiaTachycardiaIrregularConductionElectrophysiologyDevelop atrialJunctionalSeptal defect2023DiagnosisTetralogyAFibReentrantRight atriumTachyarrhythmiasComplicationsCongenital heart dReentryAbnormalityRapid ventricularSymptomsVentricular rateCommonSystemicLeft atriumMyocardialVersusRiskHigh prevalenceElectrocardiographicCoronaryAtrioventricularAnticoagulationOral anticoagulantsIsomerismCardiovascularIncreasesClinical practiceSudden DeathTachyarrhythmiaMitral regurgitationAdultsSevereBeatsSeptumPhysiologic
Ablation13
- This review will shed light on the procedural techniques, success rates and complications of AF catheter ablation in patients with different types of CHD, including atrial septal defects, tetralogy of Fallot, persistent left superior vena cava, heterotaxy syndrome and atrial isomerism, and Ebstein anomaly. (aerjournal.com)
- Radiofrequency catheter ablation techniques are safe and effective as well, especially for patients with poor tolerance to drugs (see figure figure 3b radiofrequency ablation in WPW, as well as in the treatment of atrial flutter and fibrillation by identifying tract carrying the excitation impulse). (rjmatthewsmd.com)
- Ablation therapy is used to destroy abnormal foci responsible for atrial fibrillation. (aafp.org)
- Ablation therapy may be superior to antiarrhythmics in selected patients, including those with paroxysmal atrial fibrillation who are symptomatic but without structural heart disease, patients who are intolerant of antiarrhythmics, and patients with inadequate pharmacologic rhythm control. (aafp.org)
- Atrial ventricular nodal ablation is recommended for patients refractory to medical therapy, usually older patients needing a pacemaker. (aafp.org)
- Incident atrial fibrillation (AF) is common after cavotricuspid isthmus (CTI) dependent atrial flutter (AFL) ablation. (jafib.com)
- In multivariable analysis LAVI remained the sole independent predictor of incidence AF after CTI AFL ablation. (jafib.com)
- Patients undergoing cavotricuspid isthmus (CTI) ablation of typical right atrial flutter (AFL) frequently develop new-onset atrial fibrillation (AF) within three years after ablation 1 - 3 . (jafib.com)
- This case underscores the potential benefits of Impella support during radiofrequency ablation of complex ventricular arrhythmias. (bepress.com)
- High Power Short Duration and Low Power Long Duration in Atrial Fibrillation Ablation. (authorea.com)
- Background: Multiple strategies have advocation for power titration and catheter movement during atrial fibrillation (AF) ablation. (authorea.com)
- We included studies comparing patients underwent HPSD and LPLD strategies for AF ablation and reporting either of the following outcomes: freedom from atrial tachyarrhythmia (AT) including AF and atrial flutter, procedure time, or periprocedural complications. (authorea.com)
- Methods: This prospective study included 15 consecutive patients scheduled to undergo an initial ablation of paroxysmal atrial fibrillation (AF). (authorea.com)
Paroxysmal4
- Preoperative descriptors associated with an increased prevalence of atrial tachyarrhythmias were age 70 years or older (p less than .02), mitral regurgitation (p less than .002), history of paroxysmal atrial fibrillation (p less than .03), or antiarrhythmic therapy (p less than .006), diabetes mellitus (p less than .01), and elevated pulmonary systolic, mean, and capillary wedge pressures (p less than .02, p less than .007, p less than .005). (duke.edu)
- The prevalence of paroxysmal AF, which is more likely to be detected with ambulatory monitoring, is much higher. (medilib.ir)
- 2. Paroxysmal atrial flutter or fibrillation. (rjmatthewsmd.com)
- The most common arrhythmia associated with Wolff-Parkinson-White syndrome is called paroxysmal supraventricular tachycardia. (nih.gov)
Cardiac arrhythmia4
- Atrial fibrillation (AF) is the most common cardiac arrhythmia, with a prevalence of 1% in the United States [ 1 ]. (biomedcentral.com)
- INTRODUCTION - Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia in clinical practice. (medilib.ir)
- Atrial fibrillation (AF) is a common cardiac arrhythmia, affecting approximately 1-1.5% of the general population [1, 2]. (termedia.pl)
- As the most frequent cardiac arrhythmia worldwide, experts estimate that by 2050, 6-12 million people in the United States will experience atrial fibrillation (AF). (medscape.com)
Tachycardia7
- This sharp demarcation is used less frequently in the current era, where the more electrophysiologically descriptive "atrial reentry tachycardia" is used instead. (medscape.com)
- During this type of tachycardia, the atrial rate is so rapid that normal AV nodes usually display a physiologic second-degree block , with a resultant 2:1 conduction ratio. (medscape.com)
- For patient education information, see the Heart Health Center , as well as Atrial Flutter , Tetralogy of Fallot , and Supraventricular Tachycardia . (medscape.com)
- Forty-seven patients (40%) experienced atrial tachyarrhythmias at a median of 3 days after surgery (70% atrial fibrillation, 22% atrial flutter, and 6% junctional tachycardia). (duke.edu)
- 5 In fact, about 11 % of patients with CHD develop atrial arrhythmias (intra-atrial reentrant tachycardia [IART] and AF), with the risk being higher in patients with right-sided heart lesions. (aerjournal.com)
- These include atrial flutter, atrial tachycardia and - most commonly - AF. (aerjournal.com)
- The most common ECG abnormality is sinus tachycardia, with a prevalence of approximately 90% [ 2 ]. (biomedcentral.com)
Irregular5
- An arrhythmia is when the heart beats too slowly, too fast, or in an irregular way. (cdc.gov)
- Atrial fibrillation is a supraventricular arrhythmia characterized by uncoordinated electrical activation of the atria and an irregular, often rapid, ventricular response causing hemodynamic compromise. (aafp.org)
- AF was defined as a history of AF or AF diagnosed during the hospitalisation by electrocardiography (ECG) or 24-hour monitoring electrocardiography (Holter ECG) showing an irregular atrial rhythm lasting 30 s or longer [12]. (termedia.pl)
- Also known as AFib or AF, atrial fibrillation is a type of arrhythmia (irregular heartbeat) that affects millions of Americans. (valleybaptist.net)
- Atrial Fibrillation(AF) is a cardiovascular disorder that is caused by irregular heartbeat of atria chambers. (skylabs.io)
Conduction5
- In the fetus, atrial flutter is defined as a rapid regular atrial rate of 300-600 bpm accompanied by variable degrees of atrioventricular (AV) conduction block, resulting in slower ventricular rates. (medscape.com)
- 340 bpm) during atrial flutter or when physiologic processes facilitate AV nodal conduction, such that a rapid ventricular response can still result in sudden death. (medscape.com)
- A flutter circuit typically surrounds an anatomical or functional barrier and includes a zone of slow conduction (or conduction over an extended circuit) and an area of unidirectional block, as required for reentry of all types. (medscape.com)
- Other ECG abnormalities include premature atrial and ventricular contractions, conduction blocks, atrial flutter or atrial fibrillation [ 2 ]. (biomedcentral.com)
- A type of atrial arrhythmia characterized by atrial rates of between 240 and 400 beats per minute and some degree of atrioventricular node conduction block. (nih.gov)
Electrophysiology2
- Arrhythmia & Electrophysiology Review 2017;6(4):191-4. (aerjournal.com)
- We evaluated baseline characteristics, electrophysiology study (EPS) data and echocardiographic data for incidence of AF within 3 years. (jafib.com)
Develop atrial1
- Similarly, patients who have undergone surgical repair of an atrial septal defect , total anomalous pulmonary venous connection , and tetralogy of Fallot may later develop atrial flutter. (medscape.com)
Junctional1
- Worldwide incidence with atrial fibrillation and atrial flutter or, is estimated to be 1 in 100 000 [ 2 ], but there more classically, permanent atrial standc is not sufficient evidence on the prevalence still and junctional bradycardia, observed. (who.int)
Septal defect2
- Patients with atrial septal defect (ASD) are prone to developing different types of atrial arrhythmias. (aerjournal.com)
- Percutaneous atrial septal defect (ASD) closure is a routine procedure to prevent right ventricular failure, pulmonary hypertension, or paradoxical embolism. (viamedica.pl)
20231
- Rapid Review Quiz: Atrial Fibrillation - Medscape - Mar 06, 2023. (medscape.com)
Diagnosis3
- Historically, the diagnosis of atrial flutter was restricted to those patients whose surface electrocardiogram (ECG) revealed the classic appearance of "flutter waves. (medscape.com)
- The RITMIA™ app (Heart Sentinel™, Parma, Italy) is a novel application that combined with a wearable consumer-grade chest-strap Bluetooth heart rate monitor, provides automated detection of atrial fibrillation (AF), and may be promising for sustainable AF screening programs, since it is known that prolonged monitoring leads to increased AF diagnosis. (hindawi.com)
- Pulse rate is sensitive, but not specific, for diagnosis, and suspected atrial fibrillation should be confirmed with 12-lead electrocardiography. (aafp.org)
Tetralogy2
- Preventing ventricular arrhythmias and sudden cardiac death in adults with repaired tetralogy of Fallot: a never-ending story? (revespcardiol.org)
- Risk stratification of ventricular arrhythmias in patients with repaired tetralogy of Fallot (rTOF) remains unresolved. (revespcardiol.org)
AFib6
- Atrial fibrillation, often called AFib or AF, is the most common type of treated heart arrhythmia. (cdc.gov)
- And AFib (atrial fibrillation) is a frequent arrhythmia. (upolife.com)
- AFib is one of the most commonly recorded cardiac arrhythmias. (upolife.com)
- One systematic review focused on evaluating the prevalence of AFib in GERD patients. (upolife.com)
- Based on the reports, AFib prevalence ranged from 0.62% to 14% in individuals with GERD. (upolife.com)
- Based on 2015 reports, the presence of AFib seems to boost the incidence of GERD. (upolife.com)
Reentrant2
- Atrial flutter is a reentrant arrhythmia circuit confined to the atrial chambers. (medscape.com)
- 6 The most common arrhythmia in patients with CHD is IART that occurs secondary to reentrant circuits in the right atrium. (aerjournal.com)
Right atrium2
- As a rule, atrial flutter originates in the right atrium, whereas atrial fibrillation, which is more frequent in adults, originates in the left atrium. (medscape.com)
- Right atrial appendage isomerism, also called right atrial isomerism, is a cardiac development defect in which the heart has bilateral right atria and atrial attachments in the muscle wall, as opposed to the normal right atrium and left atrium. (wikipedia.org)
Tachyarrhythmias4
- Scholars@Duke publication: Clinical correlates of atrial tachyarrhythmias after valve replacement for aortic stenosis. (duke.edu)
- One hundred eighteen consecutive patients undergoing valve replacement for aortic stenosis were analyzed to determine the incidence of and predisposing factors to postoperative atrial tachyarrhythmias. (duke.edu)
- One of the most important causes of morbidity in patients with CHD is the development of cardiac arrhythmias, in particular tachyarrhythmias. (aerjournal.com)
- Grade 3 or greater ventricular tachyarrhythmias were reported in 0.2%, Grade 3 or greater atrial fibrillation and atrial flutter were reported in 3.7%, and Grade 3 or greater cardiac failure was reported in 1.3% of 4,896 patients who received IMBRUVICA ® in clinical trials, including in patients who received IMBRUVICA ® in unapproved monotherapy or combination regimens. (imbruvicahcp.com)
Complications1
- 2019). Complications from Atrial Fibrillation. (cdc.gov)
Congenital heart d3
- Atrial flutter is infrequent in children without congenital heart disease. (medscape.com)
- Heterotaxy syndrome with atrial isomerism occurs in 1 out of every 10,000 live births and is associated with approximately 3% of congenital heart disease cases. (wikipedia.org)
- Although there is no formal database of adults with congenital heart disease (CHD) in the United States, the prevalence and incidence of CHD can be estimated and extrapolated from data in the Canadian providence. (aerjournal.com)
Reentry3
- In these patients with otherwise normal cardiac anatomy atrial reentry tachycardias are observed mostly during fetal life in late pregnancy, and during adolescence. (medscape.com)
- Micro-reentry and enhanced automaticity in one or more atrial circuits are the most common triggers for atrial fibrillation. (aafp.org)
- Pathophysiologically, atrial flutter is a form of atrial reentry in which there is a premature electrical impulse creates a self-propagating circuit. (nih.gov)
Abnormality1
- Upon examination, arrhythmia and heart murmur may raise further suspicion of a cardiac abnormality. (wikipedia.org)
Rapid ventricular2
- While further test results, including brain natriuretic peptide (BNP), were pending, electrocardiography (ECG) monitoring on telemetry showed paroxysms of atrial fibrillation with rapid ventricular rate and atrial flutter with 2-to-1 AV block ( Figure 2 ). (consultant360.com)
- The ECG tracing on the top shows atrial fibrillation with a rapid ventricular rate. (consultant360.com)
Symptoms6
- Clinical features and symptoms can vary dependent upon assignment of left versus right atrial isomerism. (wikipedia.org)
- Left atrial isomerism can have varied clinical manifestations, including a later onset of symptoms. (wikipedia.org)
- Despite the high prevalence of cardiac disease, cardiac symptoms were reported in only 57% of DMD patients over 18 years of age, which suggests that many patients remain asymptomatic, likely due to their low physical capability [ 2 ]. (biomedcentral.com)
- While some people are aware of the feeling of a skipped heartbeat or a flutter, others do not have symptoms. (valleybaptist.net)
- Early pharmaceutical or electrical cardioversion is necessary to improve symptoms, prevent the side effects of the prolonged crisis of arrhythmia and avoid hospitalization, which among others, provokes increased economic expenses 4,5 . (hippokratia.gr)
- Resulting symptoms include dizziness, a sensation of fluttering or pounding in the chest (palpitations), shortness of breath, and fainting (syncope). (nih.gov)
Ventricular rate2
- Drug therapy of atrial flutter in children can be classified under the 3 broad headings of ventricular rate control, acute conversion, and chronic suppression (see Medication ). (medscape.com)
- Typically, the ventricular rate is half the atrial rate. (nih.gov)
Common8
- AF can occur with other atrial arrhythmias of which atrial flutter is the most common entity. (cyberounds.com)
- Atrial fibrillation (AF) represents the most common arrhythmia with an estimated prevalence between 2.7 million and 6.1 million American adults, and its prevalence is expected to double over the next 25 years [ 1 ]. (hindawi.com)
- AF is a less common cause of atrial arrhythmia in CHD, but its prevalence is increasing in these patients because of improved survival to older age. (aerjournal.com)
- 2 As such, AF is the most common sustained arrhythmia seen in clinical practice. (ahrq.gov)
- Atrial fibrillation is associated with a fivefold increased risk of stroke, 3 - 5 and it is the most common arrhythmia. (aafp.org)
- It is the most common form of arrhythmia, as 50% of the arrhythmia patients are diagnosed with atrial fibrillation. (skylabs.io)
- Atrial Fibrillation (AF) is a common disease that occurs in our society nowadays, with its prevalence of 50% worldwide. (skylabs.io)
- Atrial fibrillation (AF) is common in older people and increases the risk of stroke. (researchprotocols.org)
Systemic3
- We aimed to assess whether concurrent aspirin and direct oral anticoagulant therapy for atrial fibrillation or flutter will result in less coronary, cerebrovascular and systemic ischemic events compared to direct oral anticoagulant therapy alone. (biomedcentral.com)
- This study compares outcomes of patients admitted for atrial fibrillation (AF) with and without coexisting systemic lupus erythematosus (SLE). (highwire.org)
- Systemic embolization is relatively unusual compared with other conditions causing atrial fibrillation. (health.am)
Left atrium1
- In acute mitral regurgitation, patients are in sinus rhythm rather than atrial fibrillation and have little or no enlargement of the left atrium, no calcification of the mitral valve, no associated mitral stenosis , and in many cases little left ventricular dilation. (health.am)
Myocardial3
- Nevertheless, there has been … only a modest reduction in the incidence of myocardial infarction and it remains a leading cause of death. (cyberounds.com)
- The clinical cardiologist should therefore identify potentially reversible causes of ventricular arrhythmias (e.g., myocardial ischaemia, electrolyte imbalances, etc.) and treat them, whenever possible. (escardio.org)
- Overview of Arrhythmias The normal heart beats in a regular, coordinated way because electrical impulses generated and spread by myocytes with unique electrical properties trigger a sequence of organized myocardial. (msdmanuals.com)
Versus3
- Sex - The prevalence was higher in men than women (1.1 versus 0.8 percent), a difference seen in every age group ( figure 2 and figure 1 ). (medilib.ir)
- The 2011 Focused Update on the Management of Patients with Atrial Fibrillation-by the American College of Cardiology Foundation (ACCF), the AHA, and the Heart Rhythm Society (HRS)-addressed the issue of strict versus lenient rate control in patients with AF. (ahrq.gov)
- The aim of the study was to compare the efficacy, the safety, and the overall cost of intravenous (iv) administration of vernakalant, which is a relatively new atrial-selective antiarrhythmic agent, versus ibutilide, in cardioversion of recent-onset AF. (hippokratia.gr)
Risk13
- In this observational analysis of patients with atrial fibrillation and flutter, the concomitant use of direct oral anticoagulants and aspirin was associated with an increased risk of both major adverse cardiac and bleeding events when compared to the use of direct oral anticoagulants alone. (biomedcentral.com)
- Independent risk facors for atrial fibrillation in a population based cohort. (cdc.gov)
- Atrial fibrillation is a supraventricular arrhythmia that adversely affects cardiac function and increases the risk of stroke. (aafp.org)
- Left atrial appendage obliteration is an option for reducing stroke risk. (aafp.org)
- 1 , 2 As the atria fibrillate, blood pools in the atria, and a clot may form in the atrial appendage, increasing the risk of embolic stroke. (aafp.org)
- Tracz J, Gorczyca-Głowacka I, Wałek P, Rosołowska A, Wożakowska-Kapłon B. Risk factors of ischaemic stroke in patients with atrial fibrillation. (termedia.pl)
- This suggests that although AF itself is independently associated with stroke, when other risk factors are present the cause of stroke cannot be explained by arrhythmia alone [5, 9]. (termedia.pl)
- We aimed to identify right ventricular (RV) electrophysiological parameters potentially associated with a higher risk of ventricular arrhythmias in patients with rTOF. (revespcardiol.org)
- Do you know the latest findings on risk factors, incidence, and interventions regarding AF? (medscape.com)
- We posited that Black patients would have a higher prevalence and a greater risk of CVS. (bepress.com)
- Atrial enlargement represents a risk for develop-ing atrial fibrillation (AF). (viamedica.pl)
- In order to perform prevalence studies and maximize the use of risk estimation models, the population studied must be comparable to the population to which the results will be extrapolated. (biomedcentral.com)
- Atrial fibrillation (AF) is one of these cardiovascular conditions which patients with SLE are at increased risk of developing. (highwire.org)
High prevalence1
- A high prevalence of AF was found, especially in older patients. (biomedcentral.com)
Electrocardiographic2
- Atrial flutter is an electrocardiographic descriptor used both specifically and nonspecifically to describe various atrial tachycardias. (medscape.com)
- Because normal electrocardiographic findings do not rule out atrial fibrillation, home monitoring is recommended if there is clinical suspicion of arrhythmia despite normal test results. (aafp.org)
Coronary3
- Coronary sinus atrial septal defects (ASDs) are not true defects of the atrial septum. (medscape.com)
- Interatrial shunting occurs through the defect in the wall on the left atrial side, which is continuous with the orifice of the coronary sinus opening on the right atrial side of the septum. (medscape.com)
- Despite an 80% prevalence of severe coronary heart disease (CHD) underlying SCD, the majority of cases occur in patients with unknown heart disease, who do not have a current indication for an ICD [1]. (escardio.org)
Atrioventricular2
- On the ECG there was atrial with a pacemaker being the typical form of flutter with 3:1 atrioventricular block. (who.int)
- She also reported having a history of nonresolving and difficult to manage cardiac arrhythmias, including Mobitz type 1 and type 2 second-degree atrioventricular (AV) block. (consultant360.com)
Anticoagulation1
- When Should Anticoagulation for Stroke be Initiated in Patients With Atrial Fibrillation? (medscape.com)
Oral anticoagulants1
- The benefit of combining aspirin and direct oral anticoagulants on the reduction of cardiovascular events in atrial fibrillation or flutter is not well studied. (biomedcentral.com)
Isomerism5
- Additional estimation of incidence and prevalence of isomerism proves difficult due to failure to diagnose and underestimation of the disease by clinicians. (wikipedia.org)
- Due to abnormal cardiac development, patients with situs ambiguus usually develop right atrial isomerism consisting of two bilaterally paired right atria, or left atrial isomerism consisting of two bilaterally paired left atria. (wikipedia.org)
- In either instance, the apex of the heart will be poorly positioned, which should alert a clinician of the likelihood of atrial isomerism. (wikipedia.org)
- In right atrial isomerism, the pulmonary blood oxygen tract is damaged due to right-left shunting of blood. (wikipedia.org)
- Left atrial appendage isomerism, also called left atrial isomerism, is a cardiac development defect in which the heart has two bilateral left atria and atrial appendages in the muscle wall. (wikipedia.org)
Cardiovascular1
- Narayan directs the Computational Arrhythmia Research Lab (CARL), that operates at the intersection of cardiovascular medicine, bioengineering, and data science. (stanford.edu)
Increases5
- The prevalence of AF increases with age ( figure 1 ) [ 2,8-11 ]. (medilib.ir)
- 1 The prevalence of AF increases with age and approaches 8 percent in patients older than 80 years of age. (ahrq.gov)
- its prevalence increases with age. (aafp.org)
- 6 - 8 The prevalence of atrial fibrillation increases with age, and the associated cost of medical care is high. (aafp.org)
- Also, it is known that the incidence increases mainly due to aging. (skylabs.io)
Clinical practice1
- Atrial fibrillation (AF) is the most prevalent arrhythmia encountered in clinical practice (suffers about 1 % of the adult population) 1,2 and people who suffer from it, especially those aged more than 55 years, will constantly be increasing 3 . (hippokratia.gr)
Sudden Death1
- In rare cases, arrhythmias associated with Wolff-Parkinson-White syndrome can lead to cardiac arrest and sudden death. (nih.gov)
Tachyarrhythmia1
- Atrial fibrillation (AF) is defined as a tachyarrhythmia of supraventricular origin leading to deterioration in mechanical function of the … atrium. (cyberounds.com)
Mitral regurgitation2
- Cardiac tumors, chiefly left atrial myxoma, are a rare cause of mitral regurgitation. (health.am)
- Mitral regurgitation leads to left atrial enlargement and may cause subsequent atrial fibrillation. (health.am)
Adults4
- The term was originally applied to adults with regular atrial depolarizations at a rate of 260-340 beats per minute (bpm). (medscape.com)
- 1 As such, the prevalence of CHD in the United States has been estimated in 2010 to be around 2.4 million people (1.4 million adults and 1 million children), with an incidence of between four and 10 per 1,000. (aerjournal.com)
- The prevalence of AF ranged from 0.1 percent among adults less than 55 years of age to 9 percent in those ≥80 years of age ( figure 2 ). (medilib.ir)
- African American adults have among the highest prevalence of hypertension (44%) in the world. (health.am)
Severe4
- Pulmonary vein stenosis (PVS) after PV isolation (PVI) for atrial fibrillation (AF) is a severe complication that requires angioplasty. (go.jp)
- Although the reduction in cross-sectional PVA and the incidence of moderate PVS after LB-PVI was more significant than after CB-PVI or HB-PVI, it rarely led to severe PVS. (go.jp)
- If Atrial Fibrillation is not properly diagnosed or treated, it could cause a severe stroke. (skylabs.io)
- In acute regurgitation, left atrial pressure rises abruptly, leading to pulmonary edema if severe. (health.am)
Beats1
- Atrial Fibrillation involves having disorganized electrical signals, skipping beats and rapid beating of atrial chambers. (skylabs.io)
Septum1
- In addition, the atrial septum which distinguishes the 2 atria is absent. (wikipedia.org)
Physiologic1
- In this article, we will review the physiologic cardiac adaptations to exercise along with arrhythmias seen in athletes with a focus on those commonly associated with sudden cardiac death. (scienceopen.com)