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 management of atrial flutter?
Acute treatment. When atrial flutter is diagnosed, three options are available to restore sinus rhythm: (1) administer an antiarrhythmic drug; (2) initiate DC cardioversion; or (3) initiate rapid atrial pacing to terminate the atrial flutter (fig 4).
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.
Read moreWhich medication is being used to treat the atrial flutter?
These treatments are sometimes called chemical cardioversion: Sodium channel blockers , which slow your heart’s ability to conduct electricity: Flecainide (Tambocor) Propafenone (Rythmol)
Read moreIs amiodarone the best antiarrhythmic?
It is the most effective antiarrhythmic drug currently available but is limited by a myriad of noncardiovascular side effects21 (Table 1). The major cardiovascular side effect of amiodarone is sinus bradycardia, with a higher risk of pacemaker requirement in women.
Read moreIs amiodarone used for atrial flutter?
Although the U.S. Food and Drug Administration (FDA) has labeled amiodarone only for the treatment of life-threatening ventricular arrhythmias, the drug also is used to treat atrial fibrillation .
Read more