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 is stable atrial flutter treated?
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 atypical atrial flutter?
The definition of atypical atrial flutter includes a broad spectrum of other macroreentrant tachycardias in which the wave front does not travel around the tricuspid annulus .6 Mar 2013
Read moreIs the rate regular in atrial flutter?
Atrial flutter is a relatively common supraventricular arrhythmia characterized by rapid, regular atrial depolarizations at a characteristic rate around 300 beats/min and a regular ventricular rate corresponding to one-half or one-quarter of the atrial rate (150 or 75 beats/minute).
Read moreIs Pulse irregular in atrial flutter?
Atrial flutter is a common type of heart arrhythmia. You may have no symptoms . If present, symptoms may include a noticeable fast, steady or irregular pulse, shortness of breath, dizziness, trouble with normal activities or exercise, a feeling that your heart is pounding, or tightness in your chest.
Read moreWhat is the difference between typical and atypical atrial flutter?
The term atypical has been applied to rapid atrial tachycardias with ECG patterns differing from the typical and reverse typical flutter described above, and also to re-entrant tachycardias with circuit configuration different from the typical RA flutter circuit, even if they have an ECG pattern similar to typical …22 May 2017
Read moreHow does atrial flutter affect heart rate?
Atrial flutter is a type of heart rhythm disorder in which the heart’s upper chambers (atria) beat too quickly. In atrial flutter, your heart’s upper chambers (atria) beat too quickly. This causes the heart to beat in a fast, but usually regular, rhythm .
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