Radiofrequency ablation of "class IC atrial flutter" in patients with resistant atrial fibrillation

Am J Cardiol. 1999 Mar 1;83(5):785-7, A10. doi: 10.1016/s0002-9149(98)00992-8.

Abstract

In some patients with atrial fibrillation, atrial flutter develops after administration of class IC antiarrhythmic drugs, the so-called class IC atrial flutter. Radiofrequency ablation of the right atrial isthmus results in clinical improvement in 85% of patients and provides an alternative management strategy for a subset of patients with therapy-resistant atrial fibrillation.

MeSH terms

  • Administration, Oral
  • Adult
  • Aged
  • Anti-Arrhythmia Agents / administration & dosage
  • Anti-Arrhythmia Agents / therapeutic use
  • Atrial Fibrillation / drug therapy*
  • Atrial Fibrillation / therapy
  • Atrial Flutter / etiology
  • Atrial Flutter / surgery*
  • Catheter Ablation*
  • Defibrillators, Implantable
  • Electrocardiography
  • Female
  • Flecainide / administration & dosage
  • Flecainide / therapeutic use
  • Follow-Up Studies
  • Heart Atria / surgery
  • Humans
  • Male
  • Middle Aged
  • Propafenone / administration & dosage
  • Propafenone / therapeutic use
  • Recurrence
  • Reoperation
  • Treatment Outcome

Substances

  • Anti-Arrhythmia Agents
  • Propafenone
  • Flecainide