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 moreDo 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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