![]() ![]() ![]() 7 Catheter ablation is a promising treatment method to maintain sinus rhythm, especially in the case of cavotricuspid isthmus-dependent AFLs. 4–6 Due to the low success rate of pharmacological antiarrhythmic approaches in AFL, long-term drug therapy is less acceptable nowadays, and is recommended when ablation is not feasible. 3 So far, different therapeutic strategies have been introduced for AFL, including rate control, cardioversion to sinus rhythm (principally electrical cardioversion or high-rate stimulation), and catheter ablation. 2 Appropriate management of AFL is not only important due the symptoms, but also to the increased risk of complications, such as thromboembolism and stroke, which may lead to permanent disability or death. Approaches to the management and use of anticoagulation therapy are considered equivalent for AFL and AF and the same stroke prevention strategies are therefore recommended. 1 Moreover, a sizable proportion of patients who undergo AF ablation will develop AFL (atrial macroreentrant tachycardia is a more accurate term) as a secondary arrhythmia after the ablation procedure. A significant number of patients with AFL will develop atrial fibrillation (AF) afterwards. Atrial flutter (AFL) is one of the most common supraventricular arrhythmias in clinical practice. ![]()
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