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Reverse typical atrial flutter

MedGen UID:
1639837
•Concept ID:
C4703469
•
Finding
HPO: HP:0031672

Definition

A type of atrial flutter associated with rounded or bimodal positive deflections in inferior leads II, III and aVF, and a very characteristic bimodal negative wave in the shape of a W is seen in lead V1. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVReverse typical atrial flutter

Professional guidelines

PubMed

Local electrogram-based criteria of cavotricuspid isthmus block.
Shah DC, Takahashi A, Jaïs P, Hocini M, Clémenty J, Haïssaguerre M
J Cardiovasc Electrophysiol 1999 May;10(5):662-9. doi: 10.1111/j.1540-8167.1999.tb00243.x. PMID: 10355922

Recent clinical studies

Etiology

Differences between typical and reverse typical atrial flutter identified by ultrahigh resolution mapping.
Hara S, Sato Y, Kusa S, Miwa N, Hirano H, Nakata T, Doi J, Hachiya H
J Cardiovasc Electrophysiol 2023 Aug;34(8):1658-1664. Epub 2023 Jul 2 doi: 10.1111/jce.15993. PMID: 37393583
A new electrocardiographic algorithm to differentiate upper loop re-entry from reverse typical atrial flutter.
Yuniadi Y, Tai CT, Lee KT, Huang BH, Lin YJ, Higa S, Liu TY, Huang JL, Lee PC, Chen SA
J Am Coll Cardiol 2005 Aug 2;46(3):524-8. doi: 10.1016/j.jacc.2005.04.049. PMID: 16053969

Diagnosis

Differences between typical and reverse typical atrial flutter identified by ultrahigh resolution mapping.
Hara S, Sato Y, Kusa S, Miwa N, Hirano H, Nakata T, Doi J, Hachiya H
J Cardiovasc Electrophysiol 2023 Aug;34(8):1658-1664. Epub 2023 Jul 2 doi: 10.1111/jce.15993. PMID: 37393583
Upper turnover portion of the reentry circuit for typical and reverse typical atrial flutter.
Fukuzawa K, Yoshida A, Kubo S, Takano T, Kiuchi K, Kanda G, Takami K, Kumagai H, Torii S, Takami M, Ohnishi Y, Okajima K, Hirata K
Pacing Clin Electrophysiol 2008 Sep;31(9):1160-7. doi: 10.1111/j.1540-8159.2008.01157.x. PMID: 18834468
A new electrocardiographic algorithm to differentiate upper loop re-entry from reverse typical atrial flutter.
Yuniadi Y, Tai CT, Lee KT, Huang BH, Lin YJ, Higa S, Liu TY, Huang JL, Lee PC, Chen SA
J Am Coll Cardiol 2005 Aug 2;46(3):524-8. doi: 10.1016/j.jacc.2005.04.049. PMID: 16053969
Atypical atrial flutters.
Ricard P, Imianitoff M, Yaïci K, Coutelour JM, Bergonzi M, Rinaldi JP, Saoudi N
Europace 2002 Jul;4(3):229-39. doi: 10.1053/eupc.2002.0251. PMID: 12134969

Therapy

Ultra-high resolution mapping of reverse typical atrial flutter: electrophysiological properties of a right atrial posterior wall and interatrial septum activation pattern.
Sekihara T, Miyazaki S, Nagao M, Kakehashi S, Mukai M, Aoyama D, Nodera M, Eguchi T, Hasegawa K, Uzui H, Tada H
J Interv Card Electrophysiol 2022 Mar;63(2):333-339. Epub 2021 May 8 doi: 10.1007/s10840-021-01003-0. PMID: 33963960

Clinical prediction guides

Differences between typical and reverse typical atrial flutter identified by ultrahigh resolution mapping.
Hara S, Sato Y, Kusa S, Miwa N, Hirano H, Nakata T, Doi J, Hachiya H
J Cardiovasc Electrophysiol 2023 Aug;34(8):1658-1664. Epub 2023 Jul 2 doi: 10.1111/jce.15993. PMID: 37393583
Ultra-high resolution mapping of reverse typical atrial flutter: electrophysiological properties of a right atrial posterior wall and interatrial septum activation pattern.
Sekihara T, Miyazaki S, Nagao M, Kakehashi S, Mukai M, Aoyama D, Nodera M, Eguchi T, Hasegawa K, Uzui H, Tada H
J Interv Card Electrophysiol 2022 Mar;63(2):333-339. Epub 2021 May 8 doi: 10.1007/s10840-021-01003-0. PMID: 33963960
Upper turnover portion of the reentry circuit for typical and reverse typical atrial flutter.
Fukuzawa K, Yoshida A, Kubo S, Takano T, Kiuchi K, Kanda G, Takami K, Kumagai H, Torii S, Takami M, Ohnishi Y, Okajima K, Hirata K
Pacing Clin Electrophysiol 2008 Sep;31(9):1160-7. doi: 10.1111/j.1540-8159.2008.01157.x. PMID: 18834468
A new electrocardiographic algorithm to differentiate upper loop re-entry from reverse typical atrial flutter.
Yuniadi Y, Tai CT, Lee KT, Huang BH, Lin YJ, Higa S, Liu TY, Huang JL, Lee PC, Chen SA
J Am Coll Cardiol 2005 Aug 2;46(3):524-8. doi: 10.1016/j.jacc.2005.04.049. PMID: 16053969

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