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Ventricular flutter

MedGen UID:
56266
•Concept ID:
C0152173
•
Disease or Syndrome; Finding
Synonyms: Ventricular Flutter; Ventricular Flutters
SNOMED CT: Ventricular flutter (111288001)
 
HPO: HP:0011841

Definition

A potentially lethal cardiac arrhythmia characterized by an extremely rapid, hemodynamically unstable ventricular tachycardia (150-300 beats/min) with a large oscillating sine-wave appearance. [from HPO]

Conditions with this feature

Long QT syndrome 3
MedGen UID:
349087
•Concept ID:
C1859062
•
Disease or Syndrome
Congenital long QT syndrome is electrocardiographically characterized by a prolonged QT interval and polymorphic ventricular arrhythmias (torsade de pointes). These cardiac arrhythmias may result in recurrent syncope, seizure, or sudden death (Jongbloed et al., 1999). For a discussion of genetic heterogeneity of long QT syndrome, see LQT1 (192500).
See: Condition Record
Long QT syndrome 3

Professional guidelines

PubMed

Targeted temperature management in cardiac arrest patients with a non-shockable rhythm: A national perspective.
Khan MZ, Sulaiman S, Agrawal P, Osman M, Khan MU, Khan SU, Balla S, Munir MB
Am Heart J 2020 Jul;225:129-137. Epub 2020 May 3 doi: 10.1016/j.ahj.2020.04.023. PMID: 32485327Free PMC Article
Ventricular Tachyarrhythmias in Patients With Hypertrophic Cardiomyopathy and Defibrillators: Triggers, Treatment, and Implications.
Link MS, Bockstall K, Weinstock J, Alsheikh-Ali AA, Semsarian C, Estes NAM 3rd, Spirito P, Haas TS, Rowin EJ, Maron MS, Maron BJ
J Cardiovasc Electrophysiol 2017 May;28(5):531-537. Epub 2017 Mar 31 doi: 10.1111/jce.13194. PMID: 28240435
Influence of the mode of management of acute myocardial infarction on the inducibility of ventricular tachyarrhythmias with programmed ventricular stimulation after myocardial infarction.
Brembilla-Perrot B, Huttin O, Azman B, Sellal JM, Schwartz J, Olivier A, Blangy H, Sadoul N
Isr Med Assoc J 2014 Jun;16(6):352-7. PMID: 25058996

Recent clinical studies

Etiology

A New Scoring System for Predicting Ventricular Arrhythmia Risk in Patients with Acute Myocardial Infarction.
Sun L, Han B, Wang Y, Zhu W, Jiang J, Zou A, Chi B, Mao L, Ji Y, Wang Q, Tang L
Clin Interv Aging 2023;18:283-292. Epub 2023 Feb 21 doi: 10.2147/CIA.S395121. PMID: 36851975Free PMC Article
Full recovery after prolonged resuscitation in a pediatric patient due to fulminant myocarditis: a case report with three-year follow-up.
Gu Y, Xue P, Chen HL, Zou G, Ni Y, Li L, Lu L, Chen H, Zheng A
BMC Pediatr 2022 Feb 16;22(1):95. doi: 10.1186/s12887-022-03158-9. PMID: 35172767Free PMC Article
Near fatal stent thrombosis in an aneurysmatic RCX as first manifestation of heparin induced thrombocytopenia (HIT) without thrombocytopenia.
Zoller M, Atmowihardjo I, Huch J, Albrecht I, Habedank D
BMC Cardiovasc Disord 2021 Dec 31;21(1):624. doi: 10.1186/s12872-021-02442-3. PMID: 34972517Free PMC Article
Brain natriuretic peptide for the prediction of sudden cardiac death and ventricular arrhythmias: a meta-analysis.
Scott PA, Barry J, Roberts PR, Morgan JM
Eur J Heart Fail 2009 Oct;11(10):958-66. doi: 10.1093/eurjhf/hfp123. PMID: 19789399
Amiodarone-induced ventricular fibrillation.
McComb JM, Logan KR, Khan MM, Geddes JS, Adgey AA
Eur J Cardiol 1980;11(5):381-5. PMID: 7398728

Diagnosis

A New Scoring System for Predicting Ventricular Arrhythmia Risk in Patients with Acute Myocardial Infarction.
Sun L, Han B, Wang Y, Zhu W, Jiang J, Zou A, Chi B, Mao L, Ji Y, Wang Q, Tang L
Clin Interv Aging 2023;18:283-292. Epub 2023 Feb 21 doi: 10.2147/CIA.S395121. PMID: 36851975Free PMC Article
An unusual cause of ventricular flutter.
Lescot B, Pathak A, Boveda S, Honton B
Eur Heart J 2018 Jun 1;39(21):2015. doi: 10.1093/eurheartj/ehy095. PMID: 29529175
A historical review of trauma-related diagnoses to reconsider the heterogeneity of PTSD.
DiMauro J, Carter S, Folk JB, Kashdan TB
J Anxiety Disord 2014 Dec;28(8):774-86. Epub 2014 Sep 16 doi: 10.1016/j.janxdis.2014.09.002. PMID: 25261838
Brain natriuretic peptide for the prediction of sudden cardiac death and ventricular arrhythmias: a meta-analysis.
Scott PA, Barry J, Roberts PR, Morgan JM
Eur J Heart Fail 2009 Oct;11(10):958-66. doi: 10.1093/eurjhf/hfp123. PMID: 19789399
Amiodarone-induced ventricular fibrillation.
McComb JM, Logan KR, Khan MM, Geddes JS, Adgey AA
Eur J Cardiol 1980;11(5):381-5. PMID: 7398728

Therapy

Near fatal stent thrombosis in an aneurysmatic RCX as first manifestation of heparin induced thrombocytopenia (HIT) without thrombocytopenia.
Zoller M, Atmowihardjo I, Huch J, Albrecht I, Habedank D
BMC Cardiovasc Disord 2021 Dec 31;21(1):624. doi: 10.1186/s12872-021-02442-3. PMID: 34972517Free PMC Article
An unusual cause of ventricular flutter.
Lescot B, Pathak A, Boveda S, Honton B
Eur Heart J 2018 Jun 1;39(21):2015. doi: 10.1093/eurheartj/ehy095. PMID: 29529175
Panoramic change of transient hyperkalemia on electrocardiogram.
Park Y, Shin S, Hwang HJ
Eur Heart J 2013 Apr;34(14):1030. Epub 2012 Dec 13 doi: 10.1093/eurheartj/ehs416. PMID: 23242197
Spontaneous ventricular flutter and fibrillation during quinidine medication.
Koenig W, Schinz AM
Am Heart J 1983 May;105(5):863-5. doi: 10.1016/0002-8703(83)90256-9. PMID: 6846132
Malignant hyperpyrexia and Duchenne muscular dystrophy: A case report.
Oka S, Igarashi Y, Takagi A, Nishida M, Sato K, Nakada K, Ikeda K
Can Anaesth Soc J 1982 Nov;29(6):627-9. doi: 10.1007/BF03007752. PMID: 6215975

Prognosis

A New Scoring System for Predicting Ventricular Arrhythmia Risk in Patients with Acute Myocardial Infarction.
Sun L, Han B, Wang Y, Zhu W, Jiang J, Zou A, Chi B, Mao L, Ji Y, Wang Q, Tang L
Clin Interv Aging 2023;18:283-292. Epub 2023 Feb 21 doi: 10.2147/CIA.S395121. PMID: 36851975Free PMC Article
Full recovery after prolonged resuscitation in a pediatric patient due to fulminant myocarditis: a case report with three-year follow-up.
Gu Y, Xue P, Chen HL, Zou G, Ni Y, Li L, Lu L, Chen H, Zheng A
BMC Pediatr 2022 Feb 16;22(1):95. doi: 10.1186/s12887-022-03158-9. PMID: 35172767Free PMC Article
Comparison of cardiovascular magnetic resonance characteristics and clinical prognosis in left ventricular noncompaction patients with and without arrhythmia.
Zhou ZQ, He WC, Li X, Bai W, Huang W, Hou RL, Wang YN, Guo YK
BMC Cardiovasc Disord 2022 Feb 2;22(1):25. doi: 10.1186/s12872-022-02470-7. PMID: 35109817Free PMC Article
Chronic obstructive pulmonary disease and risk of sudden cardiac death.
Liu Y, Narayanan K, Zhang Z, Li G, Liu T
Int J Cardiol 2016 Jul 1;214:406-7. Epub 2016 Apr 6 doi: 10.1016/j.ijcard.2016.03.216. PMID: 27085657
Brain natriuretic peptide for the prediction of sudden cardiac death and ventricular arrhythmias: a meta-analysis.
Scott PA, Barry J, Roberts PR, Morgan JM
Eur J Heart Fail 2009 Oct;11(10):958-66. doi: 10.1093/eurjhf/hfp123. PMID: 19789399

Clinical prediction guides

Markov Models for Detection of Ventricular Arrhythmia.
Li Z, Derksen H, Gryak J, Hooshmand M, Wood A, Ghanbari H, Gunaratne P, Najarian K
Annu Int Conf IEEE Eng Med Biol Soc 2019 Jul;2019:1488-1491. doi: 10.1109/EMBC.2019.8856504. PMID: 31946175Free PMC Article
Brain natriuretic peptide for the prediction of sudden cardiac death and ventricular arrhythmias: a meta-analysis.
Scott PA, Barry J, Roberts PR, Morgan JM
Eur J Heart Fail 2009 Oct;11(10):958-66. doi: 10.1093/eurjhf/hfp123. PMID: 19789399
Arrhythmias of a sudden traumatic death.
Jánosi A, Lászik A, Bárczi G, Keller E
J Electrocardiol 2004 Jul;37(3):227-30. doi: 10.1016/j.jelectrocard.2004.02.001. PMID: 15286936
Torsade de pointes and ventricular flutter-fibrillation following spontaneous cerebral subarachnoid hemorrhage.
Di Pasquale G, Pinelli G, Andreoli A, Manini GL, Grazi P, Tognetti F
Int J Cardiol 1988 Feb;18(2):163-72. doi: 10.1016/0167-5273(88)90162-3. PMID: 3343072
Malignant hyperpyrexia and Duchenne muscular dystrophy: A case report.
Oka S, Igarashi Y, Takagi A, Nishida M, Sato K, Nakada K, Ikeda K
Can Anaesth Soc J 1982 Nov;29(6):627-9. doi: 10.1007/BF03007752. PMID: 6215975

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