Atrial flutter during quinidine therapy of atrial fibrillation |
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| Authors: | CHENG T O |
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| Affiliation: | 2. Division of Cardiovascular and Thoracic Anesthesiology, Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Jacksonville, FL;3. Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA;4. Department of Anesthesiology, University of Iowa Hospitals and Clinics, Iowa City, IA;5. Department of Anesthesiology and Perioperative Medicine, The University of Alabama at Birmingham School of Medicine, Birmingham, AL;11. Division of Cardiovascular and Thoracic Anesthesiology, Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN;1. School of Mechanical Engineering, Shandong University, Jinan 250061, China;2. Key Laboratory of High Efficiency and Clean Mechanical Manufacture (Shandong University), Ministry of Education, Jinan 250061, China;1. Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States of America;2. Department of Clinical Anesthesiology and Critical Care, Perelman School of Medicine, Philadelphia, PA, United States of America;3. Department of Anesthesiology, Lewis Katz School of Medicine, Philadelphia, PA, United States of America;4. Department of Anesthesiology, Geisinger Commonwealth School of Medicine, Danville, PA, United States of America;5. Department of Anesthesiology and Perioperative Medicine, Penn State College of Medicine, Hershey, PA, United States of America;6. Department of Anesthesiology, Allegheny Health Network, Pittsburgh, PA, United States of America;7. Department of Anesthesiology, Sidney Kimmel Medical College, Philadelphia, PA, United States of America;8. Department of Anesthesiology and Perioperative Medicine, Drexel University College of Medicine, Philadelphia, PA, United States of America |
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| Abstract: | - 1.1. Development of atrial flutter is a common result of quinidine therapy given for conversion of atrial fibrillation to normal sinus rhythm.
- 2.2. The fact that atrial fibrillation can be changed during quinidine therapy to atrial flutter or tachycardia before final conversion to sinus rhythm, and that when reversion takes place the rhythm again proceeds from sinus through atrial premature systoles, atrial tachycardia, and atrial flutter to atrial fibrillation lends support to the theory of unitary nature of the atrial arrhythmias.
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