Typical and atypical atrial flutter: mapping and ablation

Chrishan Joseph Nalliah, Saurabh Kumar (Contributor), Prashanthan Sanders (Contributor), Jonathan M. Kalman*

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Atrial flutter (AFL) is one of the most common cardiac arrhythmias in humans, afflicting ∼0.19 million people in the United States in 2005; its prevalence is expected to increase to 0.44 million by 2050 because of the aging population. AFL often occurs in the context of structural heart disease (e.g., valvular, ischemic heart disease, cardiomyopathy) and may also manifest during acute disease process (e.g., sepsis, myocardial infarction). In this chapter, we will review recent advances in our understanding of AFL mechanisms, its heterogeneous nature, and treatment. We define AFL as an arrhythmia with a macroreentrant circuit (>2 cm) distinct from focal atrial tachycardias (or small circuit reentry) with subsequent centrifugal spread.
Original languageEnglish
Title of host publicationCardiac electrophysiology
Subtitle of host publicationfrom cell to bedside
EditorsDouglas P. Zipes, José Jalife, William G. Stevenson
Place of PublicationPhiladelphia
PublisherElselvier, Co
Number of pages11
ISBN (Electronic)9780323448888
ISBN (Print)9780323447331
Publication statusPublished - 2018
Externally publishedYes


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