Typical atrial flutter with atypical flutter wave morphology due to abnormal interatrial conduction.

Abstract:

:We report a case of typical counterclockwise atrial flutter (AFL) with conduction block from right to left atrium along the coronary sinus (CS) musculature, confirmed by discontinuous CS activation sequence during pacing near the ostium and differential right atrial pacing. AFL was associated with an atypical flutter wave morphology, due to the detour of the activation wavefront from right to left atrium via alternate interatrial electrical connections, such as Bachmann's bundle, the interatrial septum, or both.

journal_name

Cardiol J

journal_title

Cardiology journal

authors

Irie T,Kaneko Y,Nakajima T,Saito A,Ota M,Kato T,Iijima T,Tamura M,Kobayashi H,Ito T,Manita M,Kurabayashi M

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

450-3

issue

4

issn

1897-5593

journal_volume

18

pub_type

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