ALBERT L. WALDO, M.D.; BRIAN OLSHANSKY, M.D.; RICHARD W. HENTHORN, M.D.
We believe that the article in the current issue by Barold and colleagues (1) has great value in that it serves to illustrate not only the long-term efficacy of an antitachycardia pacemaker to treat recurrent atrial flutter in selected patients, but also, as reflected by the fact that the five patients in the study were being treated at three different centers, that the technique is underutilized.
The fact that type I (classical) atrial flutter should always be amenable to treatment involving the use of rapid atrial pacing techniques now seems well established. As has been summarized by Barold and colleagues
WALDO AL, OLSHANSKY B, HENTHORN RW. Use of Implanted Antitachycardia Pacemakers to Treat Paroxysmal Atrial Flutter. Ann Intern Med. ;107:247–248. doi: 10.7326/0003-4819-107-2-247
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Published: Ann Intern Med. 1987;107(2):247-248.
Cardiology, Rhythm Disorders and Devices.
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