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Atrial FlutterCatheter AblationAtrial FibrillationTricuspid ValveElectrocardiographyHeart AtriaPropafenoneAnti-Arrhythmia AgentsHeart BlockPericarditisElectrophysiologic Techniques, CardiacProcainamideHeart Conduction SystemElectric CountershockCardiac Pacing, ArtificialAtrial Function, RightBody Surface Potential MappingTachycardia, SupraventricularVena Cava, InferiorDisopyramideFlecainideAtrial FunctionTachycardiaAmiodaroneRefractory Period, ElectrophysiologicalAtrial Premature ComplexesTachycardia, Ectopic AtrialTachycardia, ParoxysmalElectrophysiologyHydrops FetalisCryosurgeryImpulse Control DisordersTreatment OutcomeArrhythmias, CardiacPulmonary VeinsAtrioventricular NodeFollow-Up StudiesFluoroscopyRecurrenceCoronary SinusCardiac CathetersSick Sinus SyndromeBundle of HisTime FactorsAtrial Function, LeftDogsButylscopolammonium BromideTachycardia, Sinoatrial Nodal ReentryEchocardiography, TransesophagealFetal DiseasesElectrocardiography, AmbulatoryVenae CavaeProspective StudiesEdrophoniumSotalolHeart DiseasesAction PotentialsAtrial AppendageHeart Defects, CongenitalTachycardia, Atrioventricular Nodal ReentryCardiac CatheterizationEchocardiographyDigoxinAtrial SeptumPacemaker, ArtificialPostoperative ComplicationsArrhythmia, SinusDysgeusiaAzygos VeinSulfonamidesSurgery, Computer-AssistedVentricular Function, RightEquipment DesignRetrospective StudiesHuman RightsHeart Septal Defects, AtrialEndocardiumElectric StimulationVentricular Dysfunction, Right
ConductionArrhythmiasTachycardiaArrhythmiaAFibCardiacParoxysmalRhythmsFibrillation or atrialContractionRhythmVentriclesSinusSeptal defectSymptomsChambers of the heartHeartbeatsPalpitationsCatheter AblationHeartbeatBradycardiaComplicationsAtrioventricular nodeDiagnosisElectrical impulses that stimulateChaoticReentryAtria beatPrematureLeft atrialRight atrialPatientsOccursEpisodesChestFibersWavesPacemakerPathwayChronicAblation
Conduction13
  • Atrial flutter is a cardiac arrhythmia characterized by atrial rates of 240-400 beats/min, usually with some degree of atrioventricular (AV) node conduction block. (medscape.com)
  • Verapamil hydrochloride does not alter the normal atrial action potential or intraventricular conduction time, but in depressed atrial fibers it decreases amplitude, velocity of depolarization, and conduction velocity. (nih.gov)
  • Atrial fibrillation (AF) can be very dangerous in the setting of WPW, as conduction of atrial impulses at rates of up to 500 beats per minute can result in ventricular tachycardia or ventricular fibrillation. (ccasociety.org)
  • In terms of its antiarrhythmic effects, digoxin slows down the conduction of electrical impulses through the atrioventricular (AV) node. (pharmacologymentor.com)
  • Arrhythmias involve abnormal conduction of the electrical impulses that govern heartbeat, causing a beat that is irregular, too fast, or too slow. (lifeextension.com)
  • Gaps in conduction leading to electrical reconnection predispose to postablation atrial flutters, which are often more problematic than AF. (medscape.com)
  • They frequently respond to digitalis favorably, because of reflux vagal activation which slow the conduction of impulses. (pharmanotes.org)
  • 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)
  • Rapid, irregular atrial contractions caused by a block of electrical impulse conduction in the right atrium and a reentrant wave front traveling up the inter-atrial septum and down the right atrial free wall or vice versa. (nih.gov)
  • Unlike ATRIAL FIBRILLATION which is caused by abnormal impulse generation, typical atrial flutter is caused by abnormal impulse conduction. (nih.gov)
  • This is the property of the AV node that prevents rapid conduction to the ventricle in cases of rapid atrial rhythms, such as atrial fibrillation or atrial flutter . (wikidoc.org)
  • The atrioventricular node delays impulses for ~0.1 second before allowing impulses through to the His-Purkinje conduction system, which spreads impulses to the ventricular walls. (wikidoc.org)
  • Abnormal rhythms (or arrhythmias ) may arise from abnormalities of impulse formation, or impulse conduction (or sometimes both). (vin.com)
Arrhythmias9
  • Atrial fibrillation (Afib) and atrial flutter are common types of abnormal heart rhythms (arrhythmias) which affect the upper chambers (atria) of the heart. (medlineplus.gov)
  • Heart rhythm problems, or heart arrhythmias, occur when the electrical impulses that coordinate your heartbeats don't work properly, causing your heart to beat too fast, too slow or irregularly. (mayoclinichealthsystem.org)
  • Heart arrhythmias may feel like a fluttering or racing heart, and they may be harmless. (mayoclinichealthsystem.org)
  • Obstructive sleep apnea - this disorder, where your breathing is interrupted during sleep, can increase your risk of bradycardia, atrial fibrillation and other arrhythmias. (mayoclinichealthsystem.org)
  • Atrial Fibrillation, Atrial flutter, Some pacemaker requiring abnormal ventricular rhythms are some of the examples of arrhythmias. (gmcmedicine.com)
  • Atrial fibrillation (AFib) and atrial flutter (AFL) are the two most frequent types of heart arrhythmias known as atrial tachycardias. (newlifeoutlook.com)
  • While its primary indication is for the treatment of heart failure, it also has antiarrhythmic properties that make it useful in managing certain types of cardiac arrhythmias , particularly atrial fibrillation and atrial flutter. (pharmacologymentor.com)
  • Arrhythmias occur when other areas of the heart, other than the SA node, begin sending out their own impulses and take over the pacemaker function of the SA node. (orlandocvi.com)
  • The Electrophysiology and Pacing Division of Medanta Heart Institute has been set up to help patients who suffer from the problem of irregular beating of the heart (arrhythmias), including atrial fibrillation, atrial flutter and ventricular tachycardia. (medanta.org)
Tachycardia12
Arrhythmia9
  • Atrial flutter is an age-triggered arrhythmia. (tutorialspoint.com)
  • With the questions we routinely see regarding understanding the different between atrial flutter and atrial fibrillation (AFib), I wanted to provide answers about how patients can identify an arrhythmia, when to seek a specialist and what treatments are available. (uchicagomedicine.org)
  • The creation of a line by radiofrequency cauterization interrupts and unhinges the 'racetrack loop,' which permanently blocks the reentrant arrhythmia of flutter. (uchicagomedicine.org)
  • Similar to atrial flutter, treatment options for AFib include anticoagulation (blood thinners) and controlling the arrhythmia with medication or catheter ablation therapy. (uchicagomedicine.org)
  • Atrial fibrillation, often called AFib or AF, is the most common type of heart arrhythmia. (mayoclinichealthsystem.org)
  • Electrolyte levels that are too high or too low can affect your heart's electrical impulses and contribute to arrhythmia development. (mayoclinichealthsystem.org)
  • As has been the case in the history of electrophysiology, one of the best ways to confirm the (causative) importance of an area or impulse is when ablation of that area terminates the arrhythmia. (medscape.com)
  • Any interruption to the electrical impulses that stimulate heart contractions may result in arrhythmia. (rastagene.com)
  • The term "arrhythmia" refers to any change from the normal sequence of electrical impulses. (medanta.org)
AFib12
  • Afib and atrial flutter often occur in the same person at different times. (medlineplus.gov)
  • In people with AFib, the electrical impulse of the heart is not regular. (medlineplus.gov)
  • In Afib or flutter, the heart rate may be as high as 250 to 350 beats per minute and is very often over 100 beats per minute. (medlineplus.gov)
  • An ECG (a test that records the electrical activity of the heart) may show AFib or atrial flutter. (medlineplus.gov)
  • This can prevent the abnormal electrical signals that cause AFib or flutter from moving through your heart. (medlineplus.gov)
  • How is treating AFib similar to atrial flutter? (uchicagomedicine.org)
  • The symptoms could be caused by atrial fibrillation (AFib) - a type of irregular heartbeat - which is one of the prime factors leading to a stroke. (raconteur.net)
  • AFib is caused by irregular electrical impulses coming from the pulmonary veins, which disrupt the natural rhythm and beating of the heart. (raconteur.net)
  • In AFib, the electrical signals originate from many regions near the atria, with only a few of these random impulses transmitted to the atria. (newlifeoutlook.com)
  • Atrial flutter symptoms tend to be less severe than those associated with AFib. (newlifeoutlook.com)
  • Moreover, AFL carries a lower risk of clot formation than AFib because of the presence of flutter waves. (newlifeoutlook.com)
  • Atrial flutter is much less common than atrial fibrillation (AFib or AF), but its causes and consequences are similar. (stroke.org)
Cardiac7
  • Signs and symptoms in patients with atrial flutter typically reflect decreased cardiac output as a result of the rapid ventricular rate. (medscape.com)
  • Impulse Dynamics (yes, the company for which I work) launched its new, CE-marked OPTIMIZER™ IVs implantable device for the treatment of heart failure at the 79th Annual Meeting of the German Cardiac Society (Mannheim, Germany, 3-6 April 2013). (implantable-device.com)
  • Patient experience a rapid forceful or irregular cardiac impulse and describe this as thumping, pounding, fluttering, jumping, racing or skipping. (medicotips.com)
  • Atrial fibrillation , an irregular and often rapid heartbeat, is the leading cardiac cause of strokes . (lifeextension.com)
  • The reason it is important to delay the cardiac impulse is to ensure that the atria have ejected their blood into the ventricles before the ventricles contract. (wikidoc.org)
  • The conducting system of the heart consists of cardiac muscle cells and conducting fibers (not nervous tissue) that are specialized for initiating impulses and conducting them rapidly through the heart (see the image below). (medscape.com)
  • The Bachmann bundle is a large muscle bundle that appears to conduct the cardiac impulse preferentially from the RA to the LA. (medscape.com)
Paroxysmal5
  • 2. Paroxysmal atrial flutter or fibrillation. (rjmatthewsmd.com)
  • Atrial fibrillation may be considered paroxysmal (lasting for a short time) or an ongoing, chronic condition. (fortherecordmag.com)
  • An electrical impulse that enters this pathway will circle rapidly, causing a sudden (paroxysmal), fast heartbeat in both the atria and the ventricles. (hopkinsmedicine.org)
  • Paroxysmal (intermittent) atrial fibrillation: recurrent (2 or more) episodes, spontaneously terminates and converts back to normal sinus rhythm within a week, lasting for less than 24 hours, typically related to a reversible cause. (orlandocvi.com)
  • AIMS: REDO-FIRM evaluated safety and effectiveness of conventional vs. focal impulse and rotor modulation (FIRM)-guided ablation of recurrent persistent or paroxysmal atrial fibrillation (AF) after an initial AF ablation procedure. (bvsalud.org)
Rhythms1
Fibrillation or atrial3
Contraction4
Rhythm21
  • Atrial flutter (AFL) is a common abnormal heart rhythm that starts in the atrial chambers of the heart. (wikipedia.org)
  • Atrial flutter is characterized by a sudden-onset (usually) regular abnormal heart rhythm on an electrocardiogram (ECG) in which the heart rate is fast. (wikipedia.org)
  • It is typically not a stable rhythm, and often degenerates into atrial fibrillation (AF). (wikipedia.org)
  • If the affected person is having chest pain, has lost consciousness, or has low blood pressure (unstable atrial flutter), then an urgent electrical shock to the heart to restore a normal heart rhythm is necessary. (wikipedia.org)
  • Medications used to restore a normal heart rhythm (antiarrhythmics) such as ibutilide effectively control atrial flutter about 80% of the time when they are started but atrial flutter recurs at a high rate (70-90% of the time) despite continued use. (wikipedia.org)
  • citation needed] Although often regarded as a relatively benign heart rhythm problem, atrial flutter shares the same complications as the related condition atrial fibrillation. (wikipedia.org)
  • In atrial flutter, the heart beats too fast, but mostly continues to contract in a regular rhythm. (medlineplus.gov)
  • It is a heart rhythm disorder, an errant flutter in the atria. (tutorialspoint.com)
  • Atrial flutter has an organized heart rhythm and is less chaotic, unlike atrial fibrillation, where the heartbeat pattern is irregular. (tutorialspoint.com)
  • Fortunately, this type of rhythm-called typical atrial flutter-is actually curable. (uchicagomedicine.org)
  • In contrast to atrial flutter, atrial fibrillation is a more chaotic rhythm that does not follow one set loop. (uchicagomedicine.org)
  • Normal sinus rhythm is usually not affected, but in patients with sick sinus syndrome, verapamil hydrochloride may interfere with sinus-node impulse generation and may induce sinus arrest or sinoatrial block. (nih.gov)
  • The malfunctioning electrical impulses are isolated and blocked before they can disrupt the heart's normal rhythm. (raconteur.net)
  • Atrial rhythm means the heart's electrical activity is driven by somewhere in the Atrium except the SA node. (medicarecentre.net)
  • Atrial flutter is a more "organized" rhythm than atrial fibrillation, meaning that its electrical activity is simpler. (heart-advisor.com)
  • Electrophysiologists, as the name suggests, deal with electricity-specifically, with the electrical impulses in the heart that control its rhythm and trigger heartbeats. (rapidesregional.com)
  • The typical findings of AP function in sinus rhythm are preexcitation, in which depolarization of the ventricles occurs in part or fully through the accessory pathway that is separate from the AVN and earlier than expected after atrial depolarization. (ccasociety.org)
  • This is an irregular heart rhythm consisting of rapid, uncoordinated, and fluttering contractions of the ventricles. (rastagene.com)
  • Atrial fibrillation is a relatively common abnormal heart rhythm where the atria beat quickly, irregularly, and unevenly. (orlandocvi.com)
  • this differs from atrial flutter, which causes a fast, regular heart rhythm. (orlandocvi.com)
  • Persistent atrial fibrillation: occurs in episodes, does not spontaneously convert back to sinus rhythm and is unrelated to a reversible cause. (orlandocvi.com)
Ventricles12
  • It can evaluate right and left atrial size, as well as the size and function of the right and left ventricles, and this information facilitates diagnosis of valvular heart disease, left ventricular hypertrophy (LVH), and pericardial disease. (medscape.com)
  • Ventricular fibrillation (427.41) is rapid, chaotic electrical impulses causing the ventricles to fibrillate ineffectively so they fail to pump blood. (fortherecordmag.com)
  • Ventricular flutter (427.42) is rapid contractions of the ventricles of the heart. (fortherecordmag.com)
  • The AV node carries the electrical impulses that tell the ventricles to contract. (clevelandclinic.org)
  • Furthermore, the atria fire so fast (240 - 360 beats per minute) that only every 2nd to 4th impulse reaches the ventricles, producing contractions at a rate of roughly 150 beats per minute. (newlifeoutlook.com)
  • These P waves, called flutter waves, look like the teeth on a saw, with many failing to reach the ventricles because of the speed at which they occur. (newlifeoutlook.com)
  • This condition refers to abnormal electrical impulses that start in the ventricles and cause an abnormally fast heartbeat. (rastagene.com)
  • Atrial fibrillation always has some degree of atrial-ventricular (AV) block with a 2:1 pattern meaning the rate of the ventricles is usually 150 beats per minute while the atria beat at 300 beats per minute. (orlandocvi.com)
  • AF is an atrial rate of greater than 300 bpm with an irregular transmission of electrical impulses through to the ventricles, causing a fast, irregular heart beat. (orlandocvi.com)
  • About rate founder, the fresh electrical impulses generally speaking travelling over the atria, resulting in the brand new atria human body in order to contract following push blood towards the ventricles. (millionaireblackguy.com)
  • As in atrial fibrillation, patients with atrial flutter cannot effectively pump blood into the lower chambers of the heart ( HEART VENTRICLES ). (nih.gov)
  • The atrioventricular node is an area of specialized tissue between the atria and the ventricles of the heart , which conducts the normal electrical impulse from the atria to the ventricles. (wikidoc.org)
Sinus7
  • The isthmus of tissue responsible for atrial flutter is seen anterior to the coronary sinus (CS) orifice. (medscape.com)
  • It starts with an electrical impulse from the sinus node. (tutorialspoint.com)
  • Sick sinus syndrome (427.81) occurs when the sinus node doesn't send proper impulses, causing the heart rate to be too slow or too fast. (fortherecordmag.com)
  • However in patients with sick sinus syndrome, verapamil HCl may interfere with sinus node impulse generation and may induce sinus arrest or sinoatrial block. (drugs.com)
  • A normal heartbeat begins with an electrical impulse from the sinus nod e , a small area in the heart's right atrium (upper chamber). (hopkinsmedicine.org)
  • It occurs when an electrical impulse fires rapidly from a site outside the sinus node and circles the atria, often due to a short circuit. (hopkinsmedicine.org)
  • HN - 2008 BX - Lateral Sinus MH - Atrial Septum UI - D054087 MN - A07.541.459.249 MS - The thin membrane-like muscular structure separating the right and the left upper chambers (HEART ATRIA) of a heart. (bvsalud.org)
Septal defect2
  • Atrial septal defect (ASD) is a congenital abnormality of the interatrial septum that enables blood flow between the left and right atria via the interatrial septum. (nih.gov)
  • An atrial septal defect (ASD) is also shown. (medscape.com)
Symptoms6
Chambers of the heart2
  • Atrial tachycardias are conditions that trigger the two upper chambers of the heart called the atria to contract at speeds higher than 100 beats per minute. (newlifeoutlook.com)
  • Heart block, in which electrical impulses originating from the upper chambers of the heart don't reach the lower chambers as they should. (rapidesregional.com)
Heartbeats3
  • When the electrical impulses in the heart, that actually coordinate the heartbeats, cease to function properly, the heart starts beating too fast, too slow or irregularly. (apollohospitals.com)
  • Class II beta-blockers work by blocking impulses that can cause irregular heartbeats. (hiltonheadregionalphysiciannetwork.com)
  • Atrial flutter is similar to A-fib , but heartbeats are more organized. (mayoclinic.org)
Palpitations2
  • Heart palpitations, flutters or fatigue? (raconteur.net)
  • Atrial flutter may present with a heartbeat that's overly fast, irregular or with heart palpitations (feeling a hard, fast or irregular heartbeat in the chest). (stroke.org)
Catheter Ablation6
Heartbeat3
  • We can represent the heartbeat rate as the proportion of atrial beats to ventricle beats. (tutorialspoint.com)
  • Atrial fibrillation (427.31) is a fast and chaotic heartbeat that becomes uncoordinated. (fortherecordmag.com)
  • Improper electrical impulses are usually behind atrial flutter or atrial fibrillation , and an irregular heartbeat can sometimes be an early warning sign about the possibility of heart failure It is always best to do whatever you can to nip a problem in the bud, and being proactive about better heart health may be necessary. (canadadrugsdirect.com)
Bradycardia1
  • 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)
Complications1
Atrioventricular node1
  • The AP conducts electrical impulses faster resulting in a shorter PR interval in the surface ECG and has a shorter refractory period than the atrioventricular node (AVN). (ccasociety.org)
Diagnosis1
Electrical impulses that stimulate1
  • If a pacemaker detects a heart rate that's abnormal, it emits electrical impulses that stimulate your heart to beat at a normal rate. (mayoclinichealthsystem.org)
Chaotic2
Reentry2
  • This second theory of AF depends on the importance of areas of the atria that harbor focal impulses or localized reentry. (medscape.com)
  • Pathophysiologically, atrial flutter is a form of atrial reentry in which there is a premature electrical impulse creates a self-propagating circuit. (nih.gov)
Atria beat2
Premature1
  • Atrial fibrillation, flutter and ventricular premature complexes can also be found. (escardio.org)
Left atrial1
  • Procedure, left atrial, and fluoroscopy times were shorter in group A as compared to group B. Dose area product was significantly higher in group A (2911 vs. 2072 cGyxcm2 , p (bvsalud.org)
Right atrial2
  • The right atrium was opened by cutting through the right atrial appendage (RAA). (medscape.com)
  • The SA node is located less than 1 mm from the epicardial surface, laterally in the right atrial sulcus terminalis at the junction of the anteromedial aspect of the superior vena cava (SVC) and the right atrium (RA). (medscape.com)
Patients7
Occurs4
  • If a short circuit of the heart's electrical signal occurs, it causes atrial flutter. (tutorialspoint.com)
  • The flutter occurs locally in the right atrium. (tutorialspoint.com)
  • This flutter occurs in the left atrium. (tutorialspoint.com)
  • Atrial flutter occurs when rapidly firing electrical signals cause the muscles in the heart's upper chambers (atria) to contract at a very rapid rate (250 to 350 times per minute). (stroke.org)
Episodes2
Chest2
  • Immediate treatment of atrial flutter centers on slowing the heart rate with medications such as beta blockers (e.g., metoprolol) or calcium channel blockers (e.g., diltiazem) if the affected person is not having chest pain, has not lost consciousness, and if their blood pressure is normal (known as stable atrial flutter). (wikipedia.org)
  • A reduction in the anteroposterior chest dimensions is usually responsible for a systolic impulse displaced to the left sternal border, a grade 1-3/6 short mid-systolic murmur in the second left interspace and a loud pulmonary component of the second heart sound. (escardio.org)
Fibers1
  • The heart is constituted by three types of muscle: atrial, ventricular, and specialized excitatory and conducting fibers. (bvsalud.org)
Waves2
  • On the surface electrocardiogram (EKG), "flutter waves" sometimes can be detected, but at other times medications or physical maneuvers must be used in order to perceive them. (heart-advisor.com)
  • atrial flutter waves are observed as sawtooth-like atrial activity. (nih.gov)
Pacemaker1
  • On the ECG there was atrial with a pacemaker being the typical form of flutter with 3:1 atrioventricular block. (who.int)
Pathway4
  • It follows a circular electrical pathway, causing the electrical impulse to gallop around the right atrium. (tutorialspoint.com)
  • Classification of typical and non-typical (atypical) atrium flutters depends on the short circuit in the heart based on the pathway the electrical signals follow to move faster around the atrium part of the heart. (tutorialspoint.com)
  • In atrial flutter, the impulses follow a circular pathway, chasing around the right atrium at rates of 250-350 times per minute. (heart-advisor.com)
  • Anatomic evidence suggests the presence of 3 intra-atrial pathways: (1) anterior internodal pathway, (2) middle internodal tract, and (3) posterior internodal tract. (medscape.com)
Chronic2
  • The chronic and recurrent ones are related to underlying structural causes like atrial disease or mitral disease. (rjmatthewsmd.com)
  • E. The chronic or long standing PSVT'S like atrial flutter or fibrillation do not revert without treatment,often fail to revert even with attempted treatment and if reverted will often recur despite therapy. (rjmatthewsmd.com)
Ablation3
  • Effective atrial flutter treatment involves medication or clinical procedures devised to scar small areas of heart tissue (ablation). (tutorialspoint.com)
  • More than a year after it was presented at HRS 2011 , the Conventional Ablation for Atrial Fibrillation With or Without Focal Impulse and Rotor Modulation (CONFIRM) trial has now been published in the Journal of the American College of Cardiology . (medscape.com)
  • INTRODUCTION: Cryoballoon ablation (CBA) aiming at pulmonary vein isolation (PVI) became a standardized atrial fibrillation (AF) ablation procedure. (bvsalud.org)