Korean Circ J.  1995 Feb;25(1):29-35. 10.4070/kcj.1995.25.1.29.

Transesophageal Atrial Pacing in Atrial Flutter

• Rho TH
• Lee MY
• Park IS
• Kim JJ
• Yoon HJ
• Seung KB
• Kim JH
• Choi KB
• Hong SJ

• KMID: 2228953
• DOI: http://doi.org/10.4070/kcj.1995.25.1.29

Abstract

Atrial flutter, a common rhythm disturbance, was first described over 80 years ago. Despite extensive investigations, several important issues remain unresolved concerning its exact mechanism and management. Present therapeutic strategies often appear effective to prevent and terminate atrial flutter. However, controlled trial and definitive studies comparing the various treatment options are surprisingly scarce. Here we report on a study of 9 episodes of spontaneous atrial flutter(AF)(flutter wave cycle length 224+/-39 msec) treatedd by transesophageal atrial pacing(TAP) in 9 patients(7 men and 2 women; mean age 56.9 yrs). TAP was effective in 5 patients : sinus rhythm resumption was immediate in 3 patients and followed a short period of atrial fibrillation in 2 patients. TAP was unsuccessful in 4 patients. All the patients tolerated the procedure well. These data strongly support the immediate first choice use of TAP in AF therapy.

Keyword

Transeophageal atrial pacing; Atrial flutter

MeSH Terms

Atrial Fibrillation
Atrial Flutter*
Female
Humans
Male