The endless fascination of right atrial flutter: Can we predict its occurrence?

The article discusses the possible prediction of right atrial flutter via constant pacing on collision of the two wavefronts on the lateral wall of the right atrium. Topics covered include the use of right atrial collision time (RACT) as a marker for development of typical atrial flutter (AFL), and the non-association of larger right/left atrial volumes on AFL development. Also noted is the association of comorbidities like systemic hypertension with AFL patients.