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| | eMedicine - Atrial Flutter : Article by Jeffrey Lazar, MD, MPH |
 | | Atrial flutter is defined by the presence of stable, uniform atrial activation (flutter waves). |
 | | Atrial flutter, type I, is also referred to as typical, common, or counter-clockwise isthmus-dependent atrial flutter and involves a re-entrant circuit that encircles the tricuspid annulus of the right atrium, with a depolarizing stimulus traveling up the atrial septum, experiencing epicardial break-through superiorly, and traveling back down the atrial free wall. |
 | | Atrial flutter is associated in patients with heart failure, valvular disease, chronic obstructive pulmonary disease, hyperthyroidism, pericarditis, pulmonary embolism, and a history of open heart surgery. |
| www.emedicine.com /emerg/topic47.htm (4620 words) |
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