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Department of Cardiology, Westmead Hospital and University of Sydney, Westmead NSW 2145, Australia
(Email: stuartpt@yahoo.com).
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Typical atrial flutter is due to a macro-re-entrant circuit in the right atrium. The tricuspid annulus and the crista terminalis form the anterior and posterior boundaries for this circuit. Mechanical interruption of typical atrial flutter is usually achieved by linear ablation of tissue or incisions joining the tricuspid annulus to the inferior vena cava or Eustachian ridge. The relationship between atrial fibrillation and atrial flutter is an important one. Two very recent studies have documented a high incidence of atrial fibrillation after
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