Journal List > Korean Circ J > v.25(1) > 1073128

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Rho, Lee, Park, Kim, Yoon, Seung, Kim, Choi, and Hong: Transesophageal Atrial Pacing in Atrial Flutter
Original Article
Korean Circulation Journal

Korean Circulation Journal 1995; 25(1): 29-35.

Published online: 28 February 1995

DOI: https://doi.org/10.4070/kcj.1995.25.1.29

Transesophageal Atrial Pacing in Atrial Flutter

Tae Ho Rho, M.D., Man Young Lee, M.D., In Soo Park, M.D., Jong Jin Kim, M.D., Ho Joong Yoon, M.D., Kie Bae Seung, M.D., Jae Hyung Kim, M.D., Kyu Bo Choi, M.D., Soon Jo Hong, M.D.

Copyright © 1995 The Korean Society of Circulation

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Transeophageal atrial pacing, Atrial flutter

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