Professional Documents
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Hauda El Rasyid
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Introduction
Carlo Pappone in catheter Ablation of Cardiac Arrhythmias Basic Concepts and Clinical Applications
Third Edition Edited by Wilber J David . Australia 2008 : 223-236
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Introduction, cont’d
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Atrial flutter is a macroreentrant tachyarrhythmia most
often contained within the right atrium. Typical atrial flutter
is defined on an electrocardiogram by the classic
“sawtooth” pattern of flutter waves with negative polarity
in leads II, III, and aVF. In contrast to atrial fibrillation,
which is sustained by multiple reentrant wavelets defined
by anatomic and/or functional barriers, typical atrial flutter
is sustained by a single reentrant circuit defined by
anatomical barriers.
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SR does not improve prognosis, but associated with a 47% lower risk for death
compared with continuing AF
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Carlo Pappone in catheter Ablation of Cardiac Arrhythmias Basic Concepts and Clinical Applications 2008 : 223-236
Electrical Cardioversion
≥ 1 of haemodinamic instability :
Altered mental state
Syock
Hypotention
Ischemic chest pain
Heart Failure
Informed corncern, do not forget sedation
AFL : 50-100 Joule, AF 120-200 J synchronize,
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Stable haemodynamic : Acute rate control
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Acute rhytme control, cont’d
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• Terima kasih
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avnrt
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