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Spontaneous Demonstration Of Counterclockwise Right Atrial Activation Following Successful Isthmus Ablation

We describe an uncommon case of typical flutter with symptomatic sinus node dysfunction, in which a permanent junctional rhythm developed following ablation of the cavo-tricuspid isthmus. This rhythm activated the right atrium in counter clockwise manner thus providing spontaneous proof of unidirect...

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Detalles Bibliográficos
Autores principales: Chaturvedi, Vivek, Parakh, Neeraj, Trehan, Vijay, Tyagi, Sanjay
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Heart Rhythm Society 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3214615/
https://www.ncbi.nlm.nih.gov/pubmed/22090731
Descripción
Sumario:We describe an uncommon case of typical flutter with symptomatic sinus node dysfunction, in which a permanent junctional rhythm developed following ablation of the cavo-tricuspid isthmus. This rhythm activated the right atrium in counter clockwise manner thus providing spontaneous proof of unidirectional isthmus block, a phenomenon that is usually demonstrated by proximal coronary sinus pacing.