When do you Anticoagulate atrial flutter?

For patients with AF or atrial flutter of more than 48 hours’ duration or unknown duration that requires immediate cardioversion for hemodynamic instability, anticoagulation should be initiated as soon as possible and continued for at least 4 weeks after cardioversion unless contraindicated.

INTRODUCTION Most patients with atrial fibrillation (AF) should receive long-term oral anticoagulation to decrease the risk of ischemic stroke and other embolic events . For most patients, the benefit from anticoagulation outweighs the associated increase in the risk of bleeding.

Although atrial flutter is usually not life-threatening at first, it does limit how well your heart pumps blood. This can cause a clot to form in your heart .