Conclusions
Resetting responses and response to entrainment have confirmed the reentrant nature of flutter and established the presence of a fully excitable gap in the majority of patients. During atrial flutter, the use of 3D electroanatomic mapping studies and the entrainment pacing technique have aided in defining the mechanism of the arrhythmia with the activation sequence, providing information regarding the timing of intra-atrial events with respect to the surface electrocardiogram, especially for the non-CTI-dependent form and for left flutter.
Further study will be needed, however, to definite the precise boundaries of flutter and to better identify correlations between the location of the different electrophysiologic types of reentrant circuits and their electrocardiographic characteristics.
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Inama, G., Pedrinazzi, C., Durin, O., Gazzaniga, P., Agricola, P. (2006). Right and Left Atrial Flutter: How To Differentiate Them on the Basis of Surface Electrocardiogram?. In: Raviele, A. (eds) Cardiac Arrhythmias 2005. Springer, Milano. https://doi.org/10.1007/88-470-0371-7_1
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