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 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 moreWhat is a 2 1 atrial flutter?
When atrial flutter is conducted 2:1, the resulting ventricular rate is around 125-175 per minute (usually around 150) . This is because the P waves (flutter waves) in atrial flutter occur at about 250-350 per minute (usually around 300).
Read moreHow do you classify atrial flutter?
Similar to atrial fibrillation, atrial flutter can be classified into the following types:
Read moreWhich is more serious AFib or atrial flutter?
Both heart diseases have the potential of becoming serious. However, many doctors and other health care professionals consider atrial flutter to be less serious than atrial fibrillation because flutter symptoms tend to be less severe and flutter waves have a less risk of embolization (clot formation).
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