Key result
Catheter ablation successfully restores sinus rhythm in refractory post-MI atrial flutter.
Case Report (n=1)
RF catheter ablation is a viable treatment option for cardioversion-resistant atrial flutter causing hemodynamic instability in the early post-myocardial infarction period.
Should not yet change practice in post-MI atrial flutter; leaves open ablation role pending prospective data.
Atrial flutter (AFL) is a common arrhythmia which may decrease cardiac output and may cause embolic events. Direct current (DC) cardioversion, medical cardioversion and radiofrequency (RF) ablation are therapeutic options, but over all RF ablation therapy has the longest event free period. Although development of AFL after myocardial infarction is quite common it may spontaneously recover or results in atrial fibrillation. Herein we report a patient with medical and electrical cardioversion resistant AFL which developed in the early post-myocardial infarction period causing hemodynamic instability, who was successfully treated with RF catheter ablation.
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Yıldız et al. (2015) conducted a case report in Atrial flutter post-myocardial infarction (n=1). Radiofrequency catheter ablation was evaluated on Restoration of sinus rhythm and hemodynamic stability. Radiofrequency catheter ablation successfully restored sinus rhythm and hemodynamic stability in a patient with medically and electrically refractory atrial flutter following a recent myocardial infarction.
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