{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T05:44:13Z","timestamp":1761803053043,"version":"build-2065373602"},"reference-count":20,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/100007497","name":"Biosense Webster","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007497","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["cardiacep.theclinics.com","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Cardiac Electrophysiology Clinics"],"published-print":{"date-parts":[[2022,9]]},"DOI":"10.1016\/j.ccep.2022.03.004","type":"journal-article","created":{"date-parts":[[2022,8,24]],"date-time":"2022-08-24T21:22:52Z","timestamp":1661376172000},"page":"483-494","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Atypical Cases of Typical Atrial Flutter? A Case Study"],"prefix":"10.1016","volume":"14","author":[{"given":"Roberto","family":"De Ponti","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacopo","family":"Marazzato","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio","family":"Angeli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manola","family":"Vilotta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Federico","family":"Blasi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Bagliani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio M.","family":"Leonelli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raffaella","family":"Marazzi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.ccep.2022.03.004_bib1","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1016\/j.amjcard.2009.04.040","article-title":"Meta-analysis of ablation of atrial flutter and supraventricular tachycardia","volume":"104","author":"Spector","year":"2009","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.ccep.2022.03.004_bib2","doi-asserted-by":"crossref","first-page":"852","DOI":"10.1046\/j.1540-8167.2001.00852.x","volume":"12","author":"Saoudi","year":"2001","journal-title":"J\u00a0Cardiovasc Electrophysiol"},{"key":"10.1016\/j.ccep.2022.03.004_bib3","doi-asserted-by":"crossref","first-page":"e001431","DOI":"10.1136\/openhrt-2020-001431","article-title":"Algorithm for cavo-tricuspid isthmus flutter on surface ECGs: the ACTIONS study","volume":"8","author":"Frisch","year":"2021","journal-title":"Open Heart"},{"key":"10.1016\/j.ccep.2022.03.004_bib4","first-page":"54","article-title":"Pseudo typical atrial flutter occurring after cavotricuspid isthmus ablation in a patient with a prior history of Senning operation","volume":"1","author":"Yoshida","year":"2015","journal-title":"Heart Rhythm Case Rep"},{"key":"10.1016\/j.ccep.2022.03.004_bib5","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1007\/s10840-018-0359-6","article-title":"Focal intra-cavotricuspid isthmus atrial tachycardias occurring after typical atrial flutter ablation: incidence and electrocardiographic and electrophysiological characteristics","volume":"52","author":"Itoh","year":"2018","journal-title":"J\u00a0Interv Card Electrophysiol"},{"key":"10.1016\/j.ccep.2022.03.004_bib6","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1016\/j.jelectrocard.2020.03.005","article-title":"What is the mechanism of this post ablation atrial flutter \"recurrence","volume":"60","author":"Muresan","year":"2020","journal-title":"J\u00a0Electrocardiol"},{"key":"10.1016\/j.ccep.2022.03.004_bib7","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1093\/europace\/eum055","article-title":"Treatment of macro-re-entrant atrial tachycardia based on electroanatomic mapping: identification and ablation of the mid-diastolic isthmus","volume":"9","author":"De Ponti","year":"2007","journal-title":"Europace"},{"key":"10.1016\/j.ccep.2022.03.004_bib8","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1161\/01.CIR.101.6.631","article-title":"Dual-loop intra-atrial reentry in humans","volume":"101","author":"Shah","year":"2000","journal-title":"Circulation"},{"key":"10.1016\/j.ccep.2022.03.004_bib9","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1046\/j.1540-8167.2004.03579.x","article-title":"Entrainment mapping of dual-loop macroreentry in common atrial flutter: new insights into the atrial flutter circuit","volume":"15","author":"Fujiki","year":"2004","journal-title":"J\u00a0Cardiovasc Electrophysiol"},{"key":"10.1016\/j.ccep.2022.03.004_bib10","series-title":"From signals to colours: a case-based atlas of electroanatomic mapping in complex atrial arrhythmias","first-page":"151","article-title":"A\u00a0non-clinical macroreentrant right atrial tachycardia with two independent loops: the exception to the rule of a shared mid-diastolic isthmus in doble-loop reentry","author":"De Ponti","year":"2008"},{"key":"10.1016\/j.ccep.2022.03.004_bib11","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1016\/j.hrthm.2006.01.011","article-title":"Ablation of focal atrial arrhythmia in patients with congenital heart defects after surgery: role of circumscribed areas with heterogeneous conduction","volume":"3","author":"de Groot","year":"2006","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.ccep.2022.03.004_bib12","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1007\/s10840-012-9705-2","article-title":"Surgical technique and the mechanism of atrial tachycardia late after open heart surgery","volume":"35","author":"Pap","year":"2012","journal-title":"J\u00a0Interv Card Electrophysiol"},{"key":"10.1016\/j.ccep.2022.03.004_bib13","doi-asserted-by":"crossref","first-page":"134","DOI":"10.2174\/1573403X10666141013122021","article-title":"Atrial tachycardias occurring late after open heart surgery","volume":"11","author":"Koh\u00e1ri","year":"2015","journal-title":"Curr Cardiol Rev"},{"key":"10.1016\/j.ccep.2022.03.004_bib14","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.hrthm.2019.07.020","article-title":"Catheter ablation of supraventricular tachycardia after tricuspid valve surgery in patients with congenital heart disease: a multicenter comparative study","volume":"17","author":"Moore","year":"2020","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.ccep.2022.03.004_bib15","doi-asserted-by":"crossref","first-page":"94","DOI":"10.23736\/S2724-5683.20.05405-5","article-title":"Ablation of atrial tachycardia in the setting of prior mitral valve surgery","volume":"69","author":"Marazzato","year":"2021","journal-title":"Minerva Cardiol Angiol"},{"key":"10.1016\/j.ccep.2022.03.004_bib16","doi-asserted-by":"crossref","first-page":"1445","DOI":"10.1111\/jce.13323","article-title":"The sawtooth EKG pattern of typical atrial flutter is not related to slow conduction velocity at the cavotricuspid isthmus","volume":"28","author":"Sau","year":"2017","journal-title":"J\u00a0Cardiovasc Electrophysiol"},{"key":"10.1016\/j.ccep.2022.03.004_bib17","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1016\/j.jacep.2017.01.019","article-title":"New Insights into an old arrhythmia: high-resolution mapping demonstrates conduction and substrate variability in right atrial macro-re-entrant tachycardia","volume":"3","author":"Pathik","year":"2017","journal-title":"JACC Clin Electrophysiol"},{"key":"10.1016\/j.ccep.2022.03.004_bib18","doi-asserted-by":"crossref","first-page":"1508-1514","DOI":"10.1111\/jce.13703","article-title":"Is proximal coronary sinus involved in the circuit in some cases of ECG \u201ctypical\u201d atrial flutter?","volume":"29","author":"De Sisti","year":"2018","journal-title":"J\u00a0Cardiovasc Electrophysiol"},{"key":"10.1016\/j.ccep.2022.03.004_bib19","doi-asserted-by":"crossref","first-page":"1099","DOI":"10.1111\/j.1540-8167.2010.01778.x","article-title":"Prospective observations in the clinical and electrophysiological characteristics of intra-isthmus reentry","volume":"21","author":"Yang","year":"2010","journal-title":"J\u00a0Cardiovasc Electrophysiol"},{"key":"10.1016\/j.ccep.2022.03.004_bib20","doi-asserted-by":"crossref","first-page":"1108","DOI":"10.1111\/j.1540-8167.2009.01511.x","article-title":"Reduction in atrial flutter ablation time by targeting maximum voltage: results of a prospective randomized clinical trial","volume":"20","author":"Gula","year":"2009","journal-title":"J\u00a0Cardiovasc Electrophysiol"}],"container-title":["Cardiac Electrophysiology Clinics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1877918222000181?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1877918222000181?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T05:42:19Z","timestamp":1761802939000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1877918222000181"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9]]},"references-count":20,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,9]]}},"alternative-id":["S1877918222000181"],"URL":"https:\/\/doi.org\/10.1016\/j.ccep.2022.03.004","relation":{},"ISSN":["1877-9182"],"issn-type":[{"type":"print","value":"1877-9182"}],"subject":[],"published":{"date-parts":[[2022,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Atypical Cases of Typical Atrial Flutter? A Case Study","name":"articletitle","label":"Article Title"},{"value":"Cardiac Electrophysiology Clinics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ccep.2022.03.004","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}