PMID: 6167938Mar 1, 1981Paper

Overdrive and programmed atrial electrostimulation in the study of the electrogenetic mechanism of atrial flutter in man

Pacing and Clinical Electrophysiology : PACE
M DisertoriF Furlanello

Abstract

The response of atrial flutter (AF) to programmed atrial stimulation (PAS) (13 cases) and overdrive atrial pacing (OAP) ws studied in a total of 18 patients. During PAS the return cycle was equal to the basic cycle of AF in six patients, shorter in one patient, and slightly longer in six; it was never compensatory. ATrial flutter terminated in two patients by PAS and by OAP in three. In 4 patients, PAS resulted in an acceleration of the AF rate, followed by spontaneous interruption within 2 seconds. In the remaining patients, the stimulation either converted the AF into an uncommon type of AF (two patients) or into atrial fibrillation that was followed by spontaneous return to sinus rhythm. In two patients it was possible to reproduce the AF with PAS; in one of the patients another type of AF was induced. Some of the data observed suggest a re-entry circuit as the electrogenetic mechanism responsible for AF in man.

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Citations

Dec 1, 1982·The American Journal of Cardiology·M Disertori, F Furlanello
Jun 1, 1989·American Heart Journal·M GuarnerioM Disertori
Feb 1, 1983·Circulation·M DisertoriF Furlanello
Oct 1, 1990·Pacing and Clinical Electrophysiology : PACE·M SantiniG Turitto
Nov 1, 1984·Pacing and Clinical Electrophysiology : PACE·B D Pless, M B Sweeney
May 25, 2006·Journal of Cardiovascular Medicine·Giuseppe InamaPietro Gazzaniga

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