Abstract

Patients frequently experience atrial flutter immediately after open heart surgery (1). At the University of Alabama Medical Center, all patients undergoing open heart surgery have a pair of temporary wire electrodes routinely placed on the atria at the time of operation for potential diagnostic and/or therapeutic use in the immediate postoperative period. The presence of a pair of fixed electrodes on the atria and the frequent occurrence of atrial flutter postoperatively have provided a unique opportunity to learn more about this long recognized (2) but poorly understood arrhythmia.

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