Key result
Anatomic barriers in the right atrium, including the crista terminalis, eustachian ridge, and tricuspid annulus, play a critical role in the reentry circuit of typical human atrial flutter.
This review highlights the critical role of anatomic conduction barriers, such as the crista terminalis and tricuspid annulus, in the pathophysiology of typical human atrial flutter.
Supports consideration of right atrial barriers in flutter ablation; extends animal model data to human reentry circuits.
Animal models of atrial flutter and early mapping studies of human atrial flutter have suggested the importance of barriers in this reentrant arrhythmia. The consistency of rate and morphology of typical atrial flutter suggest a common anatomic substrate for this arrhythmia. The unique endocardial architecture of the right atrium provides anatomic barriers around which reentry occurs. In typical human atrial flutter, the crista terminalis, eustachian ridge, and tricuspid annulus have been identified as barriers to conduction. The importance of conduction barriers, methodology for defining barriers, the anatomic substrate for these barriers, and the role of these barriers in other atrial arrhythmias are discussed.
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Olgin et al. (1996) conducted a review in Atrial flutter. Anatomic barriers in the right atrium, including the crista terminalis, eustachian ridge, and tricuspid annulus, play a critical role in the reentry circuit of typical human atrial flutter.
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