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Atrial flutter treatment by rapid atrial pacing

. 1984 ; 26 (3) : 167-72.

Language English Country Czech Republic Media print

Document type Journal Article

49 patients with 53 episodes of atrial flutter were treated by rapid atrial pacing. Sinus rhythm was attained in 55%, atrial fibrillation in 26%, type II flutter in 9% of patients. In the other cases, the effect on atrial action was only slight or short-lasting. Among the causes of the unsuccessful outcome of treatment, the authors include--besides insufficient rate and duration of pacing, bad electrode contact in the atrium and insufficient outlet current--specific properties of the type of flutter (impure flutter, type II flutter, type I atrial fibrillation, uncommon flutter) as well as unsuitable indication (mitral defect, thyrotoxicosis).

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