I need help. Here is a common case that causes me great consternation. It is one that brings two worthy philosophies into the ring. In one corner is the ever-virtuous minimally disruptive philosophy.

Background A 60-year-old male with obesity (body-mass index 43 kg/m 2) presented with recurrent symptomatic atrial fibrillation (AF), which he had had since age 41 years. The AF was refractory to ...

This ECG has typical atrial flutter waves in a "sawtooth" pattern rotating in a clockwise direction. For a complete review of atrial flutter including determining rotation direction, typical versus ...

Q: I’m a 67-year-old man who developed typical atrial flutter two years ago, but I haven’t had any symptoms that I am aware of. I don’t have a history of heart problems. My heart rate was 117 bpm ...

Please provide your email address to receive an email when new articles are posted on . A trial of a gold-tipped contact force-sensing catheter for treatment of patients with atrial flutter met its ...