A DLM-based aerodynamic simulator for flutter is used to identify some of the most important aerodynamic drivers for the T-Tail flutter mechanism of a complete aircraft. The simulator is using the Modal Descrambling Factoring Method, which permits individual variations of each direct and each interference aerodynamic force, moment and hinge moment independently of any other force or moment. The...

Atrial flutter is the most frequent arrhythmia occurring in patients who have undergone orthotopic heart transplantation. We present a representative case of typical atrial flutter with counterclockwise rotation around the tricuspid ring in a female patient who had received an orthotopic heart transplant 13 years before. The arrhythmia pattern seen on the activation map (Figure 1) shows the con...

We present an 89-year-old woman with newly diagnosed atrial flutter associated with a flare of her rheumatoid arthritis (RA). She had a history of diet-controlled type 2 diabetes mellitus, hypertension, and RA and presented with lightheadedness and worsening hand pain. She was found to be in new atrial flutter with rapid ventricular response and to have an active RA flare. In addition to adequa...

BACKGROUND Radio frequency catheter ablation is accepted therapy for patients with paroxysmal supraventricular tachycardia and has a low rate of complications. For patients with atrial arrhythmias, catheter ablation of the His bundle has been an option when drugs fail or produce untoward side effects. Although preventing rapid ventricular response, this procedure requires a permanent pacemaker ...

We present a case of drug-refractory paroxysmal atrial fibrillation in which episodes of AF spontaneously alternated with a regular arrhythmia resembling atrial flutter. Isthmus-dependent atrial flutter was initially diagnosed and the patient was treated with cavotricuspid isthmus ablation. Two months later the patient returned with recurrent arrhythmias. On the 12-lead ECG there was again evid...

We describe two cases of fetal atrial flutter associated with severe fetal hydrops which were unresponsive to digoxin but were successfully treated with flecainide acetate. Two cases of fetal atrial flutter were identified in fetuses with severe fetal hydrops on 3rd trimester ultrasonogram(28 weeks' gestation and 30 weeks' gestation). Following failed digoxin monotherapy, flecainide acetate was...

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