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Conversion of atrial flutter: rapid atrial pacing as a bedside technique
Pacing and Clinical Electrophysiology : PACE
|March 1, 1980
Summary
Bedside atrial flutter termination using right atrial pacing successfully converted nine of eleven patients to sinus rhythm. This safe, cost-effective method avoids complications associated with direct current cardioversion.
Area of Science:
- Cardiology
- Electrophysiology
Background:
- Atrial flutter is a common supraventricular tachyarrhythmia.
- Current cardioversion methods carry risks and require specialized settings.
Purpose of the Study:
- To evaluate the efficacy and safety of bedside right atrial pacing for terminating atrial flutter.
- To compare this method with traditional cardioversion techniques.
Main Methods:
- Intracardiac right atrial pacing was performed at the bedside in eleven patients with atrial flutter.
- The procedure aimed to terminate the dysrhythmia and restore sinus rhythm.
Main Results:
- Nine out of eleven patients were successfully converted to sinus rhythm.
- Two patients converted to atrial fibrillation with a slower ventricular rate.
- No complications were reported during the procedure.
Conclusions:
- Bedside right atrial pacing is an effective and safe method for converting atrial flutter.
- This technique obviates the need for specialized equipment and anesthesia, reducing risks and costs.
- It offers a feasible and often preferred alternative to direct current cardioversion.