Refer to local protocols for emergency medical services (EMS) management. Atrial flutter in an unstable patient should be treated immediately with synchronized cardioversion . Unstable patients are those with ongoing chest pain, severe shortness of breath, altered level of consciousness, or hypotension.
Read moreHow do paramedics treat flutters?
Initial treatment of atrial flutter targets the rate control (which is frequently ~150 BPM). Drugs of choice include beta blockers such as esmolol (0.5 mg/kg IV bolus followed by 50-300 ucg/kg/min) and propranolol, or calcium channel blockers such as verapamil (5-10 mg IV) or diltiazem.
Read moreIs metoprolol used for atrial flutter?
Background: Diltiazem (calcium channel blocker) and metoprolol (beta-blocker) are both commonly used to treat atrial fibrillation/flutter (AFF) in the emergency department (ED).
Read moreIs metoprolol used for atrial flutter?
Background: Diltiazem (calcium channel blocker) and metoprolol (beta-blocker) are both commonly used to treat atrial fibrillation/flutter (AFF) in the emergency department (ED).
Read moreDo beta blockers help atrial flutter?
Beta blockers are used to control the irregular heart rhythm in people with atrial fibrillation (AF) . By slowing the heart rate, the symptoms caused by AF, particularly palpitations and fatigue, are often improved.
Read moreDo beta blockers help atrial flutter?
Beta blockers are used to control the irregular heart rhythm in people with atrial fibrillation (AF) . By slowing the heart rate, the symptoms caused by AF, particularly palpitations and fatigue, are often improved.
Read moreWhat is initial treatment of atrial flutter?
Initial treatment is directed at controlling the ventricular rate, most often with a calcium channel blocker, a beta blocker, or digoxin . Medical or electrical cardioversion to restore sinus rhythm is the next step in patients who remain in atrial fibrillation.
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