{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T18:40:39Z","timestamp":1767897639949,"version":"3.49.0"},"reference-count":0,"publisher":"Radcliffe Medical Media Ltd","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017]]},"abstract":"<jats:p>Clinical electrophysiology has made the traditional classification of rapid atrial rhythms into flutter and tachycardia of little clinical use. Electrophysiological studies have defined multiple mechanisms of tachycardia, both re-entrant and focal, with varying ECG morphologies and rates, authenticated by the results of catheter ablation of the focal triggers or critical isthmuses of re-entry circuits. In patients without a history of heart disease, cardiac surgery or catheter ablation, typical flutter ECG remains predictive of a right atrial re-entry circuit dependent on the inferior vena cava\u2013tricuspid isthmus that can be very effectively treated by ablation, although late incidence of atrial fibrillation remains a problem. Secondary prevention, based on the treatment of associated atrial fibrillation risk factors, is emerging as a therapeutic option. In patients subjected to cardiac surgery or catheter ablation for the treatment of atrial fibrillation or showing atypical ECG patterns, macro-re-entrant and focal tachycardia mechanisms can be very complex and electrophysiological studies are necessary to guide ablation treatment in poorly tolerated cases.<\/jats:p>","DOI":"10.15420\/aer.2017.5.2","type":"journal-article","created":{"date-parts":[[2017,6,20]],"date-time":"2017-06-20T02:20:56Z","timestamp":1497925256000},"page":"55","source":"Crossref","is-referenced-by-count":27,"title":["Atrial Flutter, Typical and Atypical: A Review"],"prefix":"10.15420","volume":"6","author":[{"given":"Francisco G","family":"Cos\u00edo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Getafe University Hospital, European University of Madrid, Madrid, Spain","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"6096","container-title":["Arrhythmia &amp; Electrophysiology Review"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.aerjournal.com\/articles\/atrial-flutter-typical-and-atypical-review","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,7,29]],"date-time":"2019-07-29T13:27:04Z","timestamp":1564406824000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.aerjournal.com\/articles\/atrial-flutter-typical-and-atypical-review"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017]]},"references-count":0,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017]]}},"alternative-id":["aer.2017.5.2"],"URL":"https:\/\/doi.org\/10.15420\/aer.2017.5.2","relation":{},"ISSN":["2050-3369"],"issn-type":[{"value":"2050-3369","type":"print"}],"subject":[],"published":{"date-parts":[[2017]]}}}