Use of Implanted Antitachycardia Pacemakers to Treat Paroxysmal Atrial Flutter

Editorials1 August 1987Use of Implanted Antitachycardia Pacemakers to Treat Paroxysmal Atrial FlutterALBERT L. WALDO, M.D., BRIAN OLSHANSKY, M.D., RICHARD W. HENTHORN, M.D.ALBERT L. WALDO, M.D.Search for more papers by this author, BRIAN OLSHANSKY, M.D.Search for more papers by this author, RICHARD W. HENTHORN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-107-2-247 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptWe believe that the article in the current issue by Barold and colleagues (1) has great value in that it serves to illustrate not only the long-term efficacy of an antitachycardia pacemaker to treat recurrent atrial flutter in selected patients, but also, as reflected by the fact that the five patients in the study were being treated at three different centers, that the technique is underutilized.The fact that type I (classical) atrial flutter should always be amenable to treatment involving the use of rapid atrial pacing techniques now seems well established. As has been summarized by Barold and colleagues...References1. BAROLDWYNDHAMKAPPENBERGERABINADERGRIFFINFALKOFF SCLEJM. Implanted atrial pacemakers for paroxysmal atrial flutter: long-term efficacy. Ann Intern Med. 1987;107:144-9. LinkGoogle Scholar2. WALDO A. Mechanisms of atrial fibrillation, atrial flutter, and ectopic atrial flutter—a brief review. Circulation. 1987;75(4 pt 2):III: 37-40. Google Scholar3. WALDOPLUMBHENTHORN AVR. Observations on the mechanism of atrial flutter. In: SURAWICZ B, REDDY CP, PRYSTOWSKY EN, eds. Tachycardias. The Hague: Martinus Nijhoff; 1984:213-29. Google Scholar4. WALDOHENTHORNPLUMB ARV. Atrial flutter and atrial fibrillation: drug therapy and recent observations. Ann NY Acad Sci. 1984;432:258-71. CrossrefMedlineGoogle Scholar5. WALDOMACLEANKARPKOUCHOUKOSJAMES AWRNT. Continuous rapid atrial pacing to control recurrent or sustained supraventricular tachycardias following open heart surgery. Circulation. 1976;54:245-50. CrossrefMedlineGoogle Scholar6. WALDOMACLEANKARPKOUCHOUKOSJAMES AWRNT. Entrainment and interruption of atrial flutter with atrial pacing: studies in man following open heart surgery. Circulation. 1977;56:737-45. CrossrefMedlineGoogle Scholar7. CAMMWARDSPURREL JDR. Response of atrial flutter to overdrive atrial pacing and intravenous disopyramide phosphate singly and in combination. Br Heart J. 1980;44:240-7. CrossrefMedlineGoogle Scholar8. OLSHANSKYOKUMURAHENTHORNEPSTEINPLUMBWALDO BKRAVA. Combination of procainamide and rapid atrial pacing for successful conversion of atrial flutter to sinus rhythm [Abstract]. J Am Coll Cardiol. 1986;7:108A. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Case Western Reserve University/University Hospitals of Cleveland Cleveland, Ohio PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited BySuppression of Atrial Tachyarrhythmias by PacingTreatment of atrial flutter by antitachycardia pacemaker: A 13-year follow-upAn approach to therapy of supraventricular tachyarrhythmias: An algorithm versus individualized therapyAtrial Flutter-Update on the Mechanism and TreatmentSustained Effectiveness of an Atrial Antitachycardia Pacemaker during Follow-UpPacing Modalities for Tachycardia TerminationDevice Therapy of Ventricular Tachyarrhythmias 1 August 1987Volume 107, Issue 2Page: 247-248KeywordsBloodHeartLungsPacemakers Issue Published: 1 August 1987 PDF DownloadLoading ...