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Atypical atrial flutter rarely occurs in people who have not undergone previous heart surgery or previous catheter ablation procedures. Left atrial flutter is considered atypical and is common after incomplete left atrial ablation procedures. [13] Atypical atrial flutter originating from the right atrium and heart's septum have also been described.
Atrial flutter is an atrial arrhythmia where the atria contract at extremely high rates as a result of a reentrant circuit. This video describes the known pathophysiology for atrial flutter, as well as the two types, signs and symptoms, complications, and treatment.
Atrial flutter is when the atria repeatedly contract at really high rates, usually due to an underlying condition combined with premature atrial contraction. Faster atrial contraction in turn increases the number of ventricular contraction, which can cause shortness of breath, chest pain, dizziness, and nausea in certain people.
Electrode placement for Lewis lead; RL electrode (green), not shown, remains on leg . A Lewis Lead (also called the S5 lead) is a modified ECG lead used to detect atrial flutter waves when atrial flutter is suspected clinically, based on signs and symptoms, but is not definitely demonstrated on the standard 12 lead ECG.
Catheter ablation is a procedure that uses radio-frequency energy or other sources to terminate or modify a faulty electrical pathway from sections of the heart of those who are prone to developing cardiac arrhythmias such as atrial fibrillation, atrial flutter and Wolff-Parkinson-White syndrome.
Symptoms include a very fast or irregular heartbeat. Palpitations are a sensory symptom. [1] They are often described as a skipped beat, a rapid flutter, or a pounding in the chest or neck. [1] [2] Palpitations are not always the result of a physical problem with the heart and can be linked to anxiety. [3]
All these ECG-based technologies also enable the distinction between AVNRT and other abnormal fast heart rhythms such as atrial fibrillation, atrial flutter, sinus tachycardia, ventricular tachycardia and tachyarrhythmias related to Wolff-Parkinson-White syndrome, all of which may have symptoms that are similar to AVNRT. [citation needed]
Management is dependent upon the severity, or degree, of the blockage, the consistency of symptoms, as well as the cause of the AV block. [9] Patients with first-degree AV block do not have any resulting severe or life-threatening symptoms, such as symptomatic bradycardia or hypotension, and, thus, do not require treatment. [1]