AFLUTTER_ATYPICAL
Technical documentation
Atypical Atrial Flutter (Clockwise or Left Atrial)
Atrial macroreentry that is either clockwise across the cavotricuspid isthmus (positive F waves in II, III, aVF) or independent of the isthmus, revolving around surgical scars, atriotomy incisions, or left atrial structures (peri-mitral, peri-pulmonary veins). Continuous undulating baseline with variable AV conduction.
Also known as: Atypical Atrial Flutter (Clockwise or Left Atrial) · flutter atipico · flutter horario · flutter reverso · flutter auricular atipico · atypical atrial flutter · flutter auricular izquierdo · clockwise atrial flutter
What parameters does the model use?
The following values are applied by the simulation engine to this entity. They govern activation kinematics in the 3D model and the real-time synthesis of the 12-lead electrocardiogram.
What parameters does the model use?
| Parameter | Model value |
|---|---|
| Mechanism | Reentrada |
| Modeled rate | 65–160 bpm (default 130) |
| Regularity | Regular |
| P wave | Flutter waves (F waves) |
| QRS duration | 90 ms |
| QRS morphology | Normal (narrow) |
| AV conduction | 2:1 AV block |
| Severity | Clinically significant |
Which leads should be evaluated?
The catalog marks as primary diagnostic leads II, III, aVF, V1. Positive flutter waves across inferior leads (II, III, aVF) and negative in V1.
In the simulator, these leads are highlighted on the 12-channel tracing and corresponding vectors are rendered on the 3D model, displaying electrical changes and anatomical origin simultaneously.
Frequently asked clinical questions
How is Atypical Atrial Flutter (Clockwise or Left Atrial) identified on the 12-lead ECG?
Atrial macroreentry that is either clockwise across the cavotricuspid isthmus (positive F waves in II, III, aVF) or independent of the isthmus, revolving around surgical scars, atriotomy incisions, or left atrial structures (peri-mitral, peri-pulmonary veins). Continuous undulating baseline with variable AV conduction. The characteristic diagnostic waveforms are generated in real time across the simulated 12-lead tracing.
Which leads are critical for diagnostic confirmation?
The primary diagnostic leads are II, III, aVF, V1. Positive flutter waves across inferior leads (II, III, aVF) and negative in V1. In the simulator, these channels highlight the correlation with anatomical vectors.
What is the underlying electrophysiological or anatomical mechanism?
It originates from altered conduction in the cardiac conduction system, mediated by reentrada.
How can this condition be explored in the 3D simulator?
MioAtlas offers direct deep-link reproducibility with preconfigured parameters, allowing full 3D cardiac rotation and lead vector inspection.
How do you open this configuration?
The simulator encodes its full state in the query string, providing a stable and reproducible URL:
https://mioatlas.com/simulador/en/?mode=conduction&arr=AFLUTTER_ATYPICAL
Related entities
Other entities in the same category within the catalog:
Sources and bibliographic references
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Anderson RH, Yanni J, Boyett MR, Chandler NJ, Dobrzynski H (2009). "The anatomy of the cardiac conduction system". Clin Anat.
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Kligfield P, Gettes LS, Bailey JJ, et al. (2007). "Recommendations for the standardization and interpretation of the electrocardiogram: Part I: The electrocardiogram and its technology". Circulation.
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Sovilj S, Magjarevic R, Lovell NH, Dokos S (2013). "A simplified 3D model of whole heart electrical activity and 12-lead ECG generation". Comput Math Methods Med.