Determinants of recurrent atrial flutter after cardioversion

R. G. Pozen, J. Pastoriza, J. J. Rozanski, K. M. Kessler, Robert J Myerburg

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Eighteen male patients (mean age 59 years) who were electrically cardioverted for pure atrial flutter were retrospectively studied to determine those factors influencing the maintenance of regular sinus rhythm or reversion to atrial flutter. Six months after successful cardioversion, 10 patients (55%) had recurrent atrial flutter and eight patients (45%) were still in sinus rhythm. The two groups were not significantly different with respect to age, symptomatology, abnormalities on the 12 lead electrocardiogram (during sinus rhythm), or the administration of digoxin and a class Ia antiarrhythmic agent (after cardioversion). There was a trend for those patients with recurrent atrial flutter to have a higher incidence of underlying heart disease and previous episodes of atrial flutter than the non-recurrent group. There were statistically significant differences between the recurrent and non-recurrent groups with respect to echocardiographically determined left atrial size and left ventricular ejection fraction. Patients with a left atrial size greater than 45 mm or with an ejection fraction less than 45% were all at high risk for recurrent atrial flutter after successful cardioversion.

Original languageEnglish
Pages (from-to)92-96
Number of pages5
JournalBritish Heart Journal
Volume50
Issue number1
StatePublished - Sep 1 1983
Externally publishedYes

Fingerprint

Electric Countershock
Atrial Flutter
Digoxin
Stroke Volume
Heart Diseases
Electrocardiography
Maintenance
Incidence

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Pozen, R. G., Pastoriza, J., Rozanski, J. J., Kessler, K. M., & Myerburg, R. J. (1983). Determinants of recurrent atrial flutter after cardioversion. British Heart Journal, 50(1), 92-96.

Determinants of recurrent atrial flutter after cardioversion. / Pozen, R. G.; Pastoriza, J.; Rozanski, J. J.; Kessler, K. M.; Myerburg, Robert J.

In: British Heart Journal, Vol. 50, No. 1, 01.09.1983, p. 92-96.

Research output: Contribution to journalArticle

Pozen, RG, Pastoriza, J, Rozanski, JJ, Kessler, KM & Myerburg, RJ 1983, 'Determinants of recurrent atrial flutter after cardioversion', British Heart Journal, vol. 50, no. 1, pp. 92-96.
Pozen RG, Pastoriza J, Rozanski JJ, Kessler KM, Myerburg RJ. Determinants of recurrent atrial flutter after cardioversion. British Heart Journal. 1983 Sep 1;50(1):92-96.
Pozen, R. G. ; Pastoriza, J. ; Rozanski, J. J. ; Kessler, K. M. ; Myerburg, Robert J. / Determinants of recurrent atrial flutter after cardioversion. In: British Heart Journal. 1983 ; Vol. 50, No. 1. pp. 92-96.
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