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Afib is a chaotic state with no pattern of beats, in fact its totally random

the way the heart beats.

A/flutter is really just a fast beat with a pattern. Aflutter is treatable

and curable. It usually comes form the one side of the atria, I believe its

the Left but do not quote me.

I have had this and is usually associated with A/fib , there is some school

of thought that A/flutter comes first and digress into Afib.

Regards

C

> Re: More questions

>

> > During one episode of what I thought was atrial fibrillation - they

> > diagnosed atrial flutter. Could someone explain the difference to

> me - or

> > point me in a direction to find more information.

> >

> > As far as the missed beats - I read my holter monitor report and

> see that I

> > had premature atrial contractions during the 24 hours. My dr

> simply told me

> > that the monitor report was " fine " . I am thinking that if he had

> told me I

> > was having these premature beats all along, the pronounced ones

> yesterday

> > would not have caught me by surprise.

>

> Hi, Deni,

>

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>Afib is a chaotic state with no pattern of beats, in fact its totally random

>the way the heart beats.

>A/flutter is really just a fast beat with a pattern. Aflutter is treatable

>and curable. It usually comes form the one side of the atria, I believe its

>the Left but do not quote me.

>

>

I think it's a little more complicated than this .

AFlutter is often quoted with a ratio.

2:1 Flutter means for every two beats the atria does the ventricles only beat

once (the AV node blocks the other pulse)

3:1 means the top bit is beating 3 times faster than the bottom.

I believe it is rare (but not unheard of) to have 1:1 Flutter - this is pretty

serious cos the ventricles will be going like the clappers!

I've had 2:1 flutter (I think medication induced) and it felt VERY

uncomfortable. I think the discomfort came from the fact the everything was sort

of working so every other pulse in the atria produces a strong palpitation (I

was doing 280:140 so you can imagine that 140 palpitations a minute feels a bit

like a road digger in your chest)

--

D (32, Leeds, UK)

AFibbers Database http://www.dialsolutions.com/af

AFib Support Group http://groups.yahoo.com/group/AFIBsupport

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Thanks for the clarification,

The point I was trying to make is Aflutter is not random like AF. I also

believe you do not need Wafarin if you just suffer with A/flutter. Also more

importanly its a curable condition.

Thanks again.

C

> Re: Re: More questions

>

>

>

> >

> >

> I

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Hi,

Just out of curiousity...

Why is A/flutter curable...and A/fib not?

Take care,

Willem

At 11:12 9-11-2001 +0000, you wrote:

>

>Thanks for the clarification,

>The point I was trying to make is Aflutter is not random like AF. I also

>believe you do not need Wafarin if you just suffer with A/flutter. Also more

>importanly its a curable condition.

>

>Thanks again.

>

> C

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>Hi,

>

>Just out of curiousity...

>Why is A/flutter curable...and A/fib not?

>

We probably need an EP to answer this one! I wouldn't be surprised if it is luck

rather than judgement.

I think it's also fare to say that not all flutter is curable but it has a much

higher success rate than Afib.

If I was a guessing man (which I am!) I'd say it was related to the fact that

flutter is a more organised arrhythmia - pretty much everything is going fine

but the top bit is going a bit too fast for the bottom bit. If you can stop the

top bit going too fast then you're cured!

AFib is more of a problem in that it's often self sustaining (even when the

trigger has stopped you can remain in AFib as the waves chase each other).

I've just imagined a knob that you can twist on you heart - Solid NSR is one

extreme and AFib the other (well I suppose VFib is the other extreme if you want

to be grim) - I have a feeling somewhere in the middle is flutter.

I suppose what I'm trying to say is that there is less of an imbalance with

flutter.

Hardly technical or scientific just my thoughts!

--

D

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I have had an ablation both for Flutter and AF.

Aflutter emanates from one place and is a lot easier to

find. The ablation pattern that was used was a lot like the design of the

Snake belt. I have met my EP many times who has mentioned to me that he is

just off to cure a patient with Flutter.

AF is very different as it was explained me it like a light

bulb flashing on a Foot ball pitch. When the Catheter goes toward the point

of the flash , it appears somewhere else. Quoting Prof H. we have to wait

for the equipment for EP studies to become better.

There is a treatment that may become useful in the next year

or so, The linear ablation. This is where we can cut off whole areas of the

heart with a single ablation thus controlling the itinerant electrical

signals.

Lets hope 2001 will be a good year for us.

Ps I am off of the warfarin as of last week, after 6 years.

I am now on just 75mg of Aspirin per day. I cannot believe it I am getting

withdraw symptoms from the Warfarin. I will go into details when I feel a

little bit better. The good news is I am still in NSR.

Regards

C

> Just out of curiousity...

> Why is A/flutter curable...and A/fib not?

Willem, ablation seems to cure aflutter, but it is markedly

less

successful for afib. Why I dunno enough about the mechanics

to

know. My guess is the cause of aflutter is simpler and more

localized.

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