The DOI matches its Crossref record; 7 of the 7 references it cites were found in a registry or an index.
The Natural History of Lone Atrial Flutter
Abstract
BACKGROUND: The natural history of atrial flutter is not well defined. OBJECTIVE: To report the risk for stroke, conversion to atrial fibrillation, and anticoagulation for lone atrial flutter. DESIGN: Retrospective cohort analysis. SETTING: A clinically based longitudinal study of inpatients and outpatients with atrial flutter. PATIENTS: The authors compared the stroke rate in 59 patients with atrial flutter with rates in a sample in which age- and sex-specific ischemic cerebrovascular event rates were determined and in a sample of nonhypertensive patients with lone atrial fibrillation. The risk for developing atrial fibrillation after presenting with atrial flutter is also reported. MEASUREMENTS: Electrocardiograms and clinical data were collected and reviewed for each study participant. RESULTS: After adjustment for age and sex, patients with atrial flutter had a higher incidence of thromboembolic events than the sample control patients and patients with atrial fibrillation. Atrial fibrillation developed in 56% of patients with atrial flutter. CONCLUSIONS: Lone atrial flutter has a stroke risk at least as high as lone atrial fibrillation and carries a higher risk for subsequent development of atrial fibrillation than in the general population. Anticoagulation should be considered for all patients with atrial flutter who are older than 65 years of age.
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“Atrial flutter often coexists with or precedes AF. 160”
From 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS (2016) · cites this paper as [160]
Citations
Cites
ACC/AHA/ESC guidelines for the management of patients with atrial fibrillation: executive summary
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The Natural History of Lone Atrial Fibrillation
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Radiofrequency ablation of the inferior vena cava-tricuspid valve isthmus in common atrial flutter
Cosío, F. G., López‐Gil, M., Goicolea, A., Arribas, F., & Barroso, J. G. (1993) · The American Journal of Cardiology · doi:10.1016/0002-9149(93)91014-9 · Cited by 550
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Lone Atrial Fibrillation in Elderly Persons
Kopecky, S. L., Gersh, B. J., McGoon, M. D., Chu, C.-P., Ilstrup, D. M., Chesebro, J. H., & Whisnant, J. P. (1999) · Archives of Internal Medicine · doi:10.1001/archinte.159.10.1118 · Cited by 98
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Natural History of Lone Atrial Flutter
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Atrial Flutter: From ECG to Electroanatomical 3D Mapping
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A Case of Chronic Undiagnosed 2:1 Isolated Atrial Flutter in a Patient With an Autoimmune Disease
Clarke, T., Leung, E., & Fleg, A. (2023) · Cureus · doi:10.7759/cureus.48240
Turek, Ł., Sadowski, M., Kurzawski, J., & Janion, M. (2024) · Journal of Clinical Medicine · doi:10.3390/jcm13247724
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Metadata
- Authors
- Halligan, S. C., Gersh, B. J., Brown, R. D., Rosales, A. G., Munger, T. M., Shen, W.-K., Hammill, S. C., & Friedman, P. A.
- Affiliations
- Mayo Clinic (US)
- ORCID
- Venue
- Annals of Internal Medicine
- Publisher
- American College of Physicians
- Published
- 2004-02-17
- Volume
- 140
- Issue
- 4
- Pages
- 265-268
- ISSN
- 0003-4819 (ISSN-L)
- 1539-3704
- OpenAlex
- W2007242746
- Cited by
- 127
- References
- 7
- Citations by year
- 2025: 1 · 2024: 5 · 2023: 3 · 2022: 5 · 2021: 4 · 2020: 3 · 2019: 4 · 2018: 8 · 2017: 6 · 2016: 6 · 2015: 11 · 2014: 4 · 2013: 4 · 2012: 6
- FWCI
- 6.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Keywords
- natural history (disease), stroke risk, thromboembolism, anticoagulation, atrial fibrillation, cerebral ischemic events, elderly patients
- MeSH terms
- Adult, Aged, Aged, 80 and over, Anticoagulants, Atrial Fibrillation, Atrial Flutter, Humans, Longitudinal Studies, Middle Aged, Retrospective Studies, Risk Factors, Thromboembolism, Cohort Studies, Matched-Pair Analysis, Stroke
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