%0 Journal Article
%T Incisional Atrial Tachycardia Masquerading As Counter-clockwise Atrial Flutter
%A Tchavdar N Shalganov
%A Mihail M Protich
%J Indian Pacing and Electrophysiology Journal
%D 2010
%I Indian Heart Rhythm Society
%X Forty-four-year-old male patient with surgical closure of ostium secundum type atrial septal defect at the age of 9 years had undergone radiofrequency catheter ablation of the cavotricuspid isthmus because of recurrent drug-resistant typical isthmus-dependent atrial flutter, with bi-directional isthmus block achieved. Only few days later he started to suffer again high-rate tachycardia. An atypical atrial flutter was diagnosed on ECG (Figure 1). This one proved to be drug-resistant as well and recurred promptly after cardioversion.
%K macroreentrant atrial tachycardia
%K electroanatomic mapping
%K entrainment
%U http://www.ipej.org/1003/shalganov.htm