Atrial flutter with 1:1 atrioventricular conduction
Atrial flutter with 1:1 atrioventricular conduction is a cardiac arrhythmia difficult to diagnose, fatal in many cases, and unmanageable with drug therapy. A number of 17 patients presenting with this disease was studied. A percentage of 70.6 % presented with throbbings, 64.7 % with syncope and impo...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | Spanish |
| Published: |
ECIMED
2014-03-01
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| Series: | Revista Cubana de Cardiología y Cirugía Cardiovascular |
| Subjects: | |
| Online Access: | http://www.revcardiologia.sld.cu/index.php/revcardiologia/article/view/490 |
| _version_ | 1818613090153922560 |
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| author | Francisco D. Rodríguez Martorell Carmen Nieto Lluis Margarita Dorantes Sánchez Lidia M. Rodríguez Nande Francisco Dorticós Balea Jesús Castro Hevia Roberto Zayas Molina |
| author_facet | Francisco D. Rodríguez Martorell Carmen Nieto Lluis Margarita Dorantes Sánchez Lidia M. Rodríguez Nande Francisco Dorticós Balea Jesús Castro Hevia Roberto Zayas Molina |
| author_sort | Francisco D. Rodríguez Martorell |
| collection | DOAJ |
| description | Atrial flutter with 1:1 atrioventricular conduction is a cardiac arrhythmia difficult to diagnose, fatal in many cases, and unmanageable with drug therapy. A number of 17 patients presenting with this disease was studied. A percentage of 70.6 % presented with throbbings, 64.7 % with syncope and important symptoms such as dizziness, sweating, and angina pectoris. The episode was solved with the use of antiarrythmic agents by endovenous route or electrical cardioversion. Ten patients had associated cardiovascular diseases such as arterial hypertension, ischemic heart disease, and aortic stenosis. During the follow-up 5 patients were controlled with the use of antiarrythmic drugs. Eleven patients underwent electrophysiologic studies with diagnostic or therapeutic purposes. When the drugs failed to be effective or the crisis of 1:1 atrial flutter was execrable for the patient, an electrical fulguration of the flutter focus (five cases) was performed. Two patients needed antiarrythmic agents even after the procedure and are now asymptomatic. Three cases with nonsuccessful ablation of the focus or associated atrial fibrillation underwent a fulguration of the atrioventricular node. All patients had a satisfactory evolution. This entity is poorly tolerated presenting a great deal of symptoms and the diagnosis and prevention with drugs is very difficult with no pharmacologic therapeutic possibilities. |
| first_indexed | 2024-12-16T15:56:35Z |
| format | Article |
| id | doaj.art-69dddc6fdc5f459fabb384ac156872fd |
| institution | Directory Open Access Journal |
| issn | 1561-2937 |
| language | Spanish |
| last_indexed | 2024-12-16T15:56:35Z |
| publishDate | 2014-03-01 |
| publisher | ECIMED |
| record_format | Article |
| series | Revista Cubana de Cardiología y Cirugía Cardiovascular |
| spelling | doaj.art-69dddc6fdc5f459fabb384ac156872fd2022-12-21T22:25:34ZspaECIMEDRevista Cubana de Cardiología y Cirugía Cardiovascular1561-29372014-03-01112368Atrial flutter with 1:1 atrioventricular conductionFrancisco D. Rodríguez MartorellCarmen Nieto LluisMargarita Dorantes SánchezLidia M. Rodríguez NandeFrancisco Dorticós BaleaJesús Castro HeviaRoberto Zayas MolinaAtrial flutter with 1:1 atrioventricular conduction is a cardiac arrhythmia difficult to diagnose, fatal in many cases, and unmanageable with drug therapy. A number of 17 patients presenting with this disease was studied. A percentage of 70.6 % presented with throbbings, 64.7 % with syncope and important symptoms such as dizziness, sweating, and angina pectoris. The episode was solved with the use of antiarrythmic agents by endovenous route or electrical cardioversion. Ten patients had associated cardiovascular diseases such as arterial hypertension, ischemic heart disease, and aortic stenosis. During the follow-up 5 patients were controlled with the use of antiarrythmic drugs. Eleven patients underwent electrophysiologic studies with diagnostic or therapeutic purposes. When the drugs failed to be effective or the crisis of 1:1 atrial flutter was execrable for the patient, an electrical fulguration of the flutter focus (five cases) was performed. Two patients needed antiarrythmic agents even after the procedure and are now asymptomatic. Three cases with nonsuccessful ablation of the focus or associated atrial fibrillation underwent a fulguration of the atrioventricular node. All patients had a satisfactory evolution. This entity is poorly tolerated presenting a great deal of symptoms and the diagnosis and prevention with drugs is very difficult with no pharmacologic therapeutic possibilities.http://www.revcardiologia.sld.cu/index.php/revcardiologia/article/view/490flutter atrial/cirugíaablacion por cateternodulo auriculoventricular/cirugíaflutter atrial/terapiacardioversion electrica. |
| spellingShingle | Francisco D. Rodríguez Martorell Carmen Nieto Lluis Margarita Dorantes Sánchez Lidia M. Rodríguez Nande Francisco Dorticós Balea Jesús Castro Hevia Roberto Zayas Molina Atrial flutter with 1:1 atrioventricular conduction Revista Cubana de Cardiología y Cirugía Cardiovascular flutter atrial/cirugía ablacion por cateter nodulo auriculoventricular/cirugía flutter atrial/terapia cardioversion electrica. |
| title | Atrial flutter with 1:1 atrioventricular conduction |
| title_full | Atrial flutter with 1:1 atrioventricular conduction |
| title_fullStr | Atrial flutter with 1:1 atrioventricular conduction |
| title_full_unstemmed | Atrial flutter with 1:1 atrioventricular conduction |
| title_short | Atrial flutter with 1:1 atrioventricular conduction |
| title_sort | atrial flutter with 1 1 atrioventricular conduction |
| topic | flutter atrial/cirugía ablacion por cateter nodulo auriculoventricular/cirugía flutter atrial/terapia cardioversion electrica. |
| url | http://www.revcardiologia.sld.cu/index.php/revcardiologia/article/view/490 |
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