الفهرس 
Clinical profile of atrial flutterin pediatric patients
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Abstract
The study aimed to identify the clinical nature of atrial flutter by collecting the data from the patients’ sheets.
Patient and methodology: this study was a retrospective study that included 35 patients; data were collected from patient records between 2009 to 2019 in the arrhythmia clinic in children’s hospital, Cairo University.
Results:The total number of cases with AFL was 35 patients;24 males 68.6 % and 11 females 31.4%, Their ages at presentation were ranging from (antenatal to 17 years) with a median of 3 months. Twelve neonates (34.3%), 14 infants (40%) and 9 cases (25.7%) older than one year. The most common presenting symptom was tachycardia reported by the mother in 22 patients (62.8%). Dilated chambers followed by dilated cardiomyopathy was the most frequently detected heart problem by ECHO.
Twenty-five cases (71.4%) had associated heart disease by ECHO; 15 Cases (42.9 %) had associated structural heart disease; 10 Cases (28.6 %) had dilated cardiomyopathy. 27 cases (77.1 %) received amiodarone. Twenty-six cases (74.3 %) received electrical cardioversion.
Conclusion: AFL is more frequent in children less than 1-year-old. An association between AFL and structural heart disease is probable. If untreated, it could result in (tachycardia-induced cardiomyopathy). Amiodarone and electrical cardioversion are very effective in controlling atrial flutter episodes.