Flutter auricular: Resultados inmediatos y alejados de la fulguración con radiofrecuencia del istmo cavo-tricuspídeo

Background: Radiofrequency ablation of the inferior vena cavatricuspid valve isthmus relieves atrial flutter in 95% of cases. Aim: To evaluate the long term results of radiofrequency ablation of the inferior vena cavatricuspid valve isthmus in atrial flutter. Material and methods: Retrospective revi...

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Autores principales:	Almendares M,Carlos, Frangini S,Patricia, Vergara S,Ismael, Baeza L,Mariana, González A,Rolando
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2005
Materias:	Arrhythmia Atrial flutter Radiofrequency catheter ablation
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000200002
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spelling	oai:scielo:S0034-988720050002000022005-04-12Flutter auricular: Resultados inmediatos y alejados de la fulguración con radiofrecuencia del istmo cavo-tricuspídeoAlmendares M,CarlosFrangini S,PatriciaVergara S,IsmaelBaeza L,MarianaGonzález A,Rolando Arrhythmia Atrial flutter Radiofrequency catheter ablation Background: Radiofrequency ablation of the inferior vena cavatricuspid valve isthmus relieves atrial flutter in 95% of cases. Aim: To evaluate the long term results of radiofrequency ablation of the inferior vena cavatricuspid valve isthmus in atrial flutter. Material and methods: Retrospective review of 86 patients with common atrial flutter, treated with radiofrequency ablation of the isthmus, while in sinus rhythm or flutter. Patients were contacted by telephone for a new clinical and electrocardiographic assessment, three to 40 months after the procedure. Results: Of all the patients treated, five died and five were lost from follow up, thus 76 patients (mean age 56 years, 58 males) were contacted for reassessment. At the moment of the procedure, 51% had an underlying cardiac disease and 25% had high blood pressure. All referred palpitations, 25% had dyspnea, 84% were receiving antiarrhythmic drugs and 33% were on oral anticoagulants. Flutter was paroxystic in 83% and chronic in 17%. Fulguration was successful in all patients; one patient presented a high grade atrioventricular block as a complication of the procedure. At reassessment, 82% of patients were in sinus rhythm, 16% had atrial fibrillation and 2%, an atypical flutter. Conclusions: Radiofrequency fulguration is a safe and effective treatment of atrial flutter (Rev Méd Chile 2005; 133: 159-66)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.133 n.2 20052005-02-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000200002es10.4067/S0034-98872005000200002
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Arrhythmia Atrial flutter Radiofrequency catheter ablation
spellingShingle	Arrhythmia Atrial flutter Radiofrequency catheter ablation Almendares M,Carlos Frangini S,Patricia Vergara S,Ismael Baeza L,Mariana González A,Rolando Flutter auricular: Resultados inmediatos y alejados de la fulguración con radiofrecuencia del istmo cavo-tricuspídeo
description	Background: Radiofrequency ablation of the inferior vena cavatricuspid valve isthmus relieves atrial flutter in 95% of cases. Aim: To evaluate the long term results of radiofrequency ablation of the inferior vena cavatricuspid valve isthmus in atrial flutter. Material and methods: Retrospective review of 86 patients with common atrial flutter, treated with radiofrequency ablation of the isthmus, while in sinus rhythm or flutter. Patients were contacted by telephone for a new clinical and electrocardiographic assessment, three to 40 months after the procedure. Results: Of all the patients treated, five died and five were lost from follow up, thus 76 patients (mean age 56 years, 58 males) were contacted for reassessment. At the moment of the procedure, 51% had an underlying cardiac disease and 25% had high blood pressure. All referred palpitations, 25% had dyspnea, 84% were receiving antiarrhythmic drugs and 33% were on oral anticoagulants. Flutter was paroxystic in 83% and chronic in 17%. Fulguration was successful in all patients; one patient presented a high grade atrioventricular block as a complication of the procedure. At reassessment, 82% of patients were in sinus rhythm, 16% had atrial fibrillation and 2%, an atypical flutter. Conclusions: Radiofrequency fulguration is a safe and effective treatment of atrial flutter (Rev Méd Chile 2005; 133: 159-66)
author	Almendares M,Carlos Frangini S,Patricia Vergara S,Ismael Baeza L,Mariana González A,Rolando
author_facet	Almendares M,Carlos Frangini S,Patricia Vergara S,Ismael Baeza L,Mariana González A,Rolando
author_sort	Almendares M,Carlos
title	Flutter auricular: Resultados inmediatos y alejados de la fulguración con radiofrecuencia del istmo cavo-tricuspídeo
title_short	Flutter auricular: Resultados inmediatos y alejados de la fulguración con radiofrecuencia del istmo cavo-tricuspídeo
title_full	Flutter auricular: Resultados inmediatos y alejados de la fulguración con radiofrecuencia del istmo cavo-tricuspídeo
title_fullStr	Flutter auricular: Resultados inmediatos y alejados de la fulguración con radiofrecuencia del istmo cavo-tricuspídeo
title_full_unstemmed	Flutter auricular: Resultados inmediatos y alejados de la fulguración con radiofrecuencia del istmo cavo-tricuspídeo
title_sort	flutter auricular: resultados inmediatos y alejados de la fulguración con radiofrecuencia del istmo cavo-tricuspídeo
publisher	Sociedad Médica de Santiago
publishDate	2005
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000200002
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Flutter auricular: Resultados inmediatos y alejados de la fulguración con radiofrecuencia del istmo cavo-tricuspídeo

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