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 moreWhat is the best medication for atrial flutter?
Antiarrhythmic medications can control electrical impulses to the heart, thus encouraging a healthy rate and rhythm. Medications such as amiodarone, flecainide, Multaq®, and sotalol are commonly used for these purposes.
Read moreWhich beta blocker is best for atrial flutter?
Bisoprolol* or metoprolol succinate are first-choice beta-blockers for patients with atrial fibrillation as they are prescribed once-daily and do not require dose adjustment in patients with renal impairment. Bisoprolol is preferred as it is more cardioselective than metoprolol and may cause more bradycardia.
Read moreDoes amiodarone treat atrial flutter?
In our study, standard high dose intravenous amiodarone maintenance treatment following a loading dose of 300 mg/30 mins represents effective treatment for acute onset atrial fibrillation or flutter in the routine coronary care unit setting .
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