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Typical atrial flutter

MedGen UID:
923694
Concept ID:
C3264370
Pathologic Function
Synonyms: Atrial flutter type 1; Atrial flutter type I
SNOMED CT: Typical atrial flutter (720448006); Atrial flutter type I (720448006); Atrial flutter type 1 (720448006)
 
HPO: HP:0031671

Definition

Typical atrial flutter is an organized atrial tachycardia. It can also be defined as a macroreentrant tachycardia confined to the right atrium. This arrhythmia has a 200-260 ms cycle length, although it may fluctuate depending on patient's previous treatment or ablation, congenital heart disease, etc. Ventricular rate response will be limited by the atrioventricular node conductions, usually presenting a 2:1 or 3:1 response, during atrial flutter. Typical (counter clockwise) flutter is associated with the common flutter pattern [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVTypical atrial flutter

Professional guidelines

PubMed

Bagliani G, Leonelli FM, De Ponti R, Casella M, Massara F, Tofoni P, Guerra F, Ciliberti G, Russo AD
Card Electrophysiol Clin 2022 Sep;14(3):385-399. Epub 2022 Aug 25 doi: 10.1016/j.ccep.2022.05.007. PMID: 36153121
Sawhney NS, Anousheh R, Chen WC, Feld GK
Cardiol Clin 2009 Feb;27(1):55-67, viii. doi: 10.1016/j.ccl.2008.09.010. PMID: 19111764
Patel A, Markowitz SM
Expert Rev Cardiovasc Ther 2008 Jul;6(6):811-22. doi: 10.1586/14779072.6.6.811. PMID: 18570619

Recent clinical studies

Etiology

Luani B, Basho M, Ismail A, Rauwolf T, Kaese S, Tobli N, Samol A, Pankraz K, Schmeisser A, Wiemer M, Braun-Dullaeus RC, Genz C
Cardiovasc Ultrasound 2023 Aug 3;21(1):13. doi: 10.1186/s12947-023-00312-w. PMID: 37537565Free PMC Article
Vallès E, Martí-Almor J, Grau N, Casteigt B, Benito B, Cabrera S, Alcalde O, Benito E, Bas D, Conejos J, Cabero P, Soler C, Duran X, Fan R, Jimenez J
J Cardiol 2022 Mar;79(3):417-422. Epub 2021 Nov 10 doi: 10.1016/j.jjcc.2021.10.012. PMID: 34774385
Nunes-Ferreira A, Alves M, Lima da Silva G, Cortez-Dias N, de Sousa J, Pinto FJ, Caldeira D
Pacing Clin Electrophysiol 2021 Oct;44(10):1701-1710. Epub 2021 Sep 1 doi: 10.1111/pace.14342. PMID: 34409630
Starek Z, Lehar F, Jez J, Wolf J, Novák M
Curr Cardiol Rev 2015;11(2):167-79. doi: 10.2174/1573403x10666140713172231. PMID: 25028165Free PMC Article
Morita N, Kobayashi Y, Iwasaki YK, Hayashi M, Miyauchi Y, Atarashi H, Tanaka K, Katoh T, Mizuno K
Pacing Clin Electrophysiol 2008 Aug;31(8):943-54. doi: 10.1111/j.1540-8159.2008.01120.x. PMID: 18684249

Diagnosis

Luani B, Basho M, Ismail A, Rauwolf T, Kaese S, Tobli N, Samol A, Pankraz K, Schmeisser A, Wiemer M, Braun-Dullaeus RC, Genz C
Cardiovasc Ultrasound 2023 Aug 3;21(1):13. doi: 10.1186/s12947-023-00312-w. PMID: 37537565Free PMC Article
Notaristefano F, Zingarini G, Cavallini C, Bagliani G, De Ponti R, Leonelli FM
Card Electrophysiol Clin 2022 Sep;14(3):459-469. Epub 2022 Aug 25 doi: 10.1016/j.ccep.2022.06.007. PMID: 36153126
Bagliani G, Leonelli FM, De Ponti R, Casella M, Massara F, Tofoni P, Guerra F, Ciliberti G, Russo AD
Card Electrophysiol Clin 2022 Sep;14(3):385-399. Epub 2022 Aug 25 doi: 10.1016/j.ccep.2022.05.007. PMID: 36153121
Vallès E, Martí-Almor J, Grau N, Casteigt B, Benito B, Cabrera S, Alcalde O, Benito E, Bas D, Conejos J, Cabero P, Soler C, Duran X, Fan R, Jimenez J
J Cardiol 2022 Mar;79(3):417-422. Epub 2021 Nov 10 doi: 10.1016/j.jjcc.2021.10.012. PMID: 34774385
Morita N, Kobayashi Y, Iwasaki YK, Hayashi M, Miyauchi Y, Atarashi H, Tanaka K, Katoh T, Mizuno K
Pacing Clin Electrophysiol 2008 Aug;31(8):943-54. doi: 10.1111/j.1540-8159.2008.01120.x. PMID: 18684249

Therapy

Vallès E, Martí-Almor J, Grau N, Casteigt B, Benito B, Cabrera S, Alcalde O, Benito E, Bas D, Conejos J, Cabero P, Soler C, Duran X, Fan R, Jimenez J
J Cardiol 2022 Mar;79(3):417-422. Epub 2021 Nov 10 doi: 10.1016/j.jjcc.2021.10.012. PMID: 34774385
Nunes-Ferreira A, Alves M, Lima da Silva G, Cortez-Dias N, de Sousa J, Pinto FJ, Caldeira D
Pacing Clin Electrophysiol 2021 Oct;44(10):1701-1710. Epub 2021 Sep 1 doi: 10.1111/pace.14342. PMID: 34409630
Lyan E, Yalin K, Abdin A, Sawan N, Liosis S, Lange SA, Eitel I, Heeger CH, Meyer-Saraei R, Eitel C, Tilz RR
J Cardiol 2019 Jun;73(6):497-506. Epub 2019 Mar 13 doi: 10.1016/j.jjcc.2019.02.006. PMID: 30878353
Expósito V, Rodríguez-Entem F, González-Enríquez S, Veiga G, Olavarri I, Olalla JJ
Clin Cardiol 2016 Jun;39(6):347-51. Epub 2016 Mar 30 doi: 10.1002/clc.22538. PMID: 27028600Free PMC Article
Sommer P, Piorkowski C, Gaspar T, Eitel C, Derndorfer M, Martinek M, Pürerfellner H, Arya A, Hindricks G, Rolf S
Europace 2013 Sep;15(9):1292-7. Epub 2013 Apr 23 doi: 10.1093/europace/eut090. PMID: 23612730

Prognosis

Vallès E, Martí-Almor J, Grau N, Casteigt B, Benito B, Cabrera S, Alcalde O, Benito E, Bas D, Conejos J, Cabero P, Soler C, Duran X, Fan R, Jimenez J
J Cardiol 2022 Mar;79(3):417-422. Epub 2021 Nov 10 doi: 10.1016/j.jjcc.2021.10.012. PMID: 34774385
Iden L, Richardt G, Weinert R, Groschke S, Toelg R, Borlich M
Europace 2021 Aug 6;23(8):1227-1236. doi: 10.1093/europace/euab002. PMID: 33611584
Jastrzębski M, Stec J, Fijorek K, Pavlinec C, Czarnecka D
Kardiol Pol 2020 Jan 24;78(1):59-64. Epub 2019 Dec 12 doi: 10.33963/KP.15102. PMID: 31827060
Lyan E, Yalin K, Abdin A, Sawan N, Liosis S, Lange SA, Eitel I, Heeger CH, Meyer-Saraei R, Eitel C, Tilz RR
J Cardiol 2019 Jun;73(6):497-506. Epub 2019 Mar 13 doi: 10.1016/j.jjcc.2019.02.006. PMID: 30878353
Seara JG, Roubin SR, Gude Sampedro F, Barreiro VB, Sande JM, Mañero MR, Grandio PC, Alvarez B, Juanatey JG
Clin Res Cardiol 2014 Jul;103(7):543-52. Epub 2014 Feb 25 doi: 10.1007/s00392-014-0682-6. PMID: 24566731

Clinical prediction guides

Vallès E, Martí-Almor J, Grau N, Casteigt B, Benito B, Cabrera S, Alcalde O, Benito E, Bas D, Conejos J, Cabero P, Soler C, Duran X, Fan R, Jimenez J
J Cardiol 2022 Mar;79(3):417-422. Epub 2021 Nov 10 doi: 10.1016/j.jjcc.2021.10.012. PMID: 34774385
Nunes-Ferreira A, Alves M, Lima da Silva G, Cortez-Dias N, de Sousa J, Pinto FJ, Caldeira D
Pacing Clin Electrophysiol 2021 Oct;44(10):1701-1710. Epub 2021 Sep 1 doi: 10.1111/pace.14342. PMID: 34409630
Seara JG, Roubin SR, Gude Sampedro F, Barreiro VB, Sande JM, Mañero MR, Grandio PC, Alvarez B, Juanatey JG
Clin Res Cardiol 2014 Jul;103(7):543-52. Epub 2014 Feb 25 doi: 10.1007/s00392-014-0682-6. PMID: 24566731
Takami M, Yoshida A, Fukuzawa K, Takei A, Kanda G, Takami K, Kumagai H, Tanaka S, Itoh M, Imamura K, Fujiwara R, Suzuki A, Hirata K
J Cardiovasc Electrophysiol 2012 Aug;23(8):827-34. Epub 2012 Mar 27 doi: 10.1111/j.1540-8167.2012.02313.x. PMID: 22452343
Tai CT, Haque A, Lin YK, Tsao HM, Ding YA, Chang MS, Chen SA
J Interv Card Electrophysiol 2002 Aug;7(1):77-82. doi: 10.1023/a:1020876317859. PMID: 12391423

Recent systematic reviews

Nunes-Ferreira A, Alves M, Lima da Silva G, Cortez-Dias N, de Sousa J, Pinto FJ, Caldeira D
Pacing Clin Electrophysiol 2021 Oct;44(10):1701-1710. Epub 2021 Sep 1 doi: 10.1111/pace.14342. PMID: 34409630
Fu B, Ran B, Zhang H, Luo Y, Wang J
J Interv Card Electrophysiol 2021 Apr;60(3):529-533. Epub 2020 May 18 doi: 10.1007/s10840-020-00772-4. PMID: 32424664
Romero J, Patel K, Briceno D, Lakkireddy D, Gabr M, Diaz JC, Alviz I, Polanco D, Della Rocca DG, Mohanty P, Mohanty S, Trivedi C, Natale A, Di Biase L
J Cardiovasc Electrophysiol 2020 Aug;31(8):1987-1995. Epub 2020 Jul 7 doi: 10.1111/jce.14614. PMID: 32530541
Spector P, Reynolds MR, Calkins H, Sondhi M, Xu Y, Martin A, Williams CJ, Sledge I
Am J Cardiol 2009 Sep 1;104(5):671-7. doi: 10.1016/j.amjcard.2009.04.040. PMID: 19699343
Rodgers M, McKenna C, Palmer S, Chambers D, Van Hout S, Golder S, Pepper C, Todd D, Woolacott N
Health Technol Assess 2008 Nov;12(34):iii-iv, xi-xiii, 1-198. doi: 10.3310/hta12340. PMID: 19036232

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