How is pediatric atrial flutter prevented?

Updated: Feb 04, 2019
  • Author: M Silvana Horenstein, MD; Chief Editor: Syamasundar Rao Patnana, MD  more...
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Answer

Atrial stretch, surgical scarring, and sinus node dysfunction all appear to play important roles in the development of atrial flutter in patients with congenital heart disease. The development of new surgical techniques to avoid atrial suture lines or dilatation and to prophylactically interrupt potential conduction isthmuses within the atria may reduce the frequency of this disorder in future surgical cohorts of patients with congenital heart disease.

Efforts directed at sparing the sinus node during surgery, coupled with more aggressive pacing strategies in patients with sinus node dysfunction, could also play an important role in prevention of atrial flutter.


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