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.
References
May 1, 1978·Circulation·H J Wellens
Feb 1, 1978·Circulation·C V LeierS F Schaal
Feb 1, 1976·Circulation Research·A L Wit, P F Cranefield
Nov 1, 1977·Circulation·A L WaldoT N James
Jan 1, 1974·Circulation·P DenesK M Rosen
Jul 1, 1966·Annals of Internal Medicine·D A Rytand
Jun 1, 1973·Chest·J W ListerS S Barold
Feb 1, 1973·The American Journal of Cardiology·T O Cheng
Jan 1, 1974·American Heart Journal·M E JosephsonA N Damato
Aug 1, 1974·Circulation·M M ScheinmanM Hollenberg
Aug 1, 1967·The American Journal of Cardiology·J I HaftA N Damato
Oct 1, 1972·Circulation·G S VergaraP Samet
Sep 1, 1970·The American Journal of Cardiology·S J Gulotta, A L Aronson
Aug 1, 1971·The American Journal of Cardiology·D P Zipes
Jan 1, 1968·Circulation·G R Stibitz, D A Rytand
Mar 1, 1969·Annals of Internal Medicine·H J ZeftJ J Morris
Oct 1, 1969·Circulation·Y Kishon, R E Smith
Nov 1, 1965·Circulation Research·G Lange
May 1, 1967·Circulation Research·W G HaydenD A Rytand
Aug 1, 1952·The American Journal of Medicine·M PRINTZMETAL
Mar 1, 1953·A.M.A. Archives of Internal Medicine·D SCHERFS BLUMENFELD
May 1, 1947·American Heart Journal·A ROSENBLUETH, J GARCIA RAMOS
Feb 1, 1947·Proceedings of the Society for Experimental Biology and Medicine·D SCHERF
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