Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2008 Jan 24;123(3):e51-3.
doi: 10.1016/j.ijcard.2006.11.140. Epub 2007 Feb 28.

A atrial flutter consisted of two different conduction pathways

Dainari Nakashima, Shigeyuki Kojima, Ayumi Nakaboh, Tomohiro Shinozuka, Koji Hasegawa, Atsushi Nakagawa, Hidefumi Hamada
Case Reports

A atrial flutter consisted of two different conduction pathways

Dainari Nakashima et al. Int J Cardiol. .

Abstract

The patient is a 64-year-old male who had been implanted with a DDD-pacemaker for sick sinus syndrome in 2003. In January 2006, he experienced palpitations and visited a local hospital on the second day of occurrence. After an electrocardiography (ECG) revealed atrial flutter (AFL) during palpitation, which was resistant to administered verapamil, the patient was admitted to our hospital for curative treatment. Electrophysiological study revealed a common AFL (AFL1) initiated by atrial burst pacing. We performed isthmus radiofrequency (RF) ablation against AFL1 successfully, after which another common AFL (AFL2) with differing atrial rate was detected. A second ablation operation with standard catheterization techniques was successful, suggesting that two pathways with differing conduction times existed.

PubMed Disclaimer