![]() The most frequent symptoms of atrial flutter are palpitations and/or mild chest dyscomfort. Atrial rhythm is typically around 300 / min (250-350/min.) Clinical picture Most typically, tachycardia rotates in the right atrium counter-clockwise around the tricuspid valve anulus (cavo-tricuspid isthmus – dependent flutter). ![]() the re-entry circuit occupies large areas of the atrium. PathophysiologyĪtrial flutter is a typical macro-reentrant tachycardia, i.e.
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