open access
Atrial tachycardia or ”atypical” atrial flutter? Clinician’s dilemmas resolved by electrophysiologist


- Electrophysiology Laboratory, Swietokrzyskie Cardiology Center, Kielce, Poland
- Collegium Medicum, The Jan Kochanowski University, Kielce, Poland
- 1st Clinic of Cardiology and Electrotherapy, Swietokrzyskie Cardiology Center, Kielce, Poland
open access
Abstract
We present a case report of a patient who underwent ablation of “atypical” atrial flutter. In the surface electrocardiogram, atrial tachycardia was initially diagnosed. As a result of electrophysiological mapping using the CARTOPRIME module, the diagnosis was verified and “atypical” atrial flutter was diagnosed, whose propagation wave in the right atrium met the criteria for the diagnosis of typical atrial flutter.
Abstract
We present a case report of a patient who underwent ablation of “atypical” atrial flutter. In the surface electrocardiogram, atrial tachycardia was initially diagnosed. As a result of electrophysiological mapping using the CARTOPRIME module, the diagnosis was verified and “atypical” atrial flutter was diagnosed, whose propagation wave in the right atrium met the criteria for the diagnosis of typical atrial flutter.
Keywords
arrhythmia, atrial flutter, ablation, electrophysiological examination


Title
Atrial tachycardia or ”atypical” atrial flutter? Clinician’s dilemmas resolved by electrophysiologist
Journal
Issue
Article type
Case report
Pages
79-83
Published online
2023-03-15
Page views
153
Article views/downloads
69
DOI
10.5603/FC.a2023.0004
Bibliographic record
Folia Cardiologica 2023;18(2):79-83.
Keywords
arrhythmia
atrial flutter
ablation
electrophysiological examination
Authors
Paweł Wałek
Ireneusz Domański-Giec
Przemysław Dąbkowski
Maciej Młodnicki
Dawid Bąkowski
Beata Wożakowska-Kapłon


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- Brugada J, Katritsis DG, Arbelo E, et al. ESC Scientific Document Group. 2019 ESC Guidelines for the management of patients with supraventricular tachycardiaThe Task Force for the management of patients with supraventricular tachycardia of the European Society of Cardiology (ESC). Eur Heart J. 2020; 41(5): 655–720.
- McDonagh TA, Metra M, Adamo M, et al. ESC Scientific Document Group. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J. 2021; 42(36): 3599–3726.