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Atrial cycle length alternans during typical atrial flutter: What is the mechanism?

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A 72-year-old male presenting with a 45-year history of intermittent palpitations that remained sustained for 2 months was admitted to our hospital. The patient had no history of ablation, and… Click to show full abstract

A 72-year-old male presenting with a 45-year history of intermittent palpitations that remained sustained for 2 months was admitted to our hospital. The patient had no history of ablation, and echocardiography revealed a structurally normal heart. The 12-lead electrocardiogram (ECG) is shown in Figure 1A. An intracardiac recording of atrioventricular (AV) 2:1 conduction with alternating atrial cycle length (CL) intervals of 242 and 271 ms is shown in Figure 1B. This article is protected by copyright. All rights reserved.

Keywords: alternans typical; length alternans; cycle length; atrial cycle

Journal Title: Journal of Cardiovascular Electrophysiology
Year Published: 2019

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