Do you need to Anticoagulate for atrial flutter?

Most patients with atrial flutter should be considered for chronic anticoagulation in a manner similar to those with atrial fibrillation (AF) . This recommendation is based not only on the fact atrial flutter carries a risk for systemic embolization but also that these patients usually have episodes of AF.

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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.

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