What is best treatment for atrial flutter?

What is best treatment for atrial flutter?

Currently, atrial flutter is successfully “cured” by radiofrequency catheter ablation; but treatment to restore atrial fibrillation to sinus rhythm has been the traditional use of medications and external cardioversion.

Does atrial flutter require treatment?

Sometimes, atrial flutter goes away by itself and no further action is needed. If it persists, your doctor may pursue any of the following treatments: Treatment of any underlying conditions. Catheter ablation — procedure to destroy the errant electrical pathways; performed together with an electrophysiological study.

Which beta-blocker is best for atrial flutter?

Bisoprolol* or metoprolol succinate are first-choice beta-blockers for patients with atrial fibrillation as they are prescribed once-daily and do not require dose adjustment in patients with renal impairment. Bisoprolol is preferred as it is more cardioselective than metoprolol and may cause more bradycardia.

Does atrial flutter need anticoagulation?

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.

Does cardioversion cure atrial flutter?

Atrial flutter — Atrial flutter is an atrial arrhythmia that can be treated with cardioversion. The success rate is over 90 percent. Success is not related to the duration of this arrhythmia. Anticoagulation is also given prior to and after cardioversion, as it is in patients with AF.

Is anticoagulation needed for atrial flutter?

Which is safer metoprolol or diltiazem?

Conclusions: Diltiazem was more effective in achieving rate control in ED patients with AFF and did so with no increased incidence of adverse effects.

How do you convert atrial flutter?

Conversion of atrial flutter and atrial fibrillation (AF) can be achieved by either pharmacologic or direct-current (DC) electrical cardioversion. DC electrical cardioversion is more effective and restores sinus rhythm instantaneously; however, general anesthesia is necessary, which can cause severe complications.

Is amlodipine good for irregular heartbeat?

“Both drugs are generally considered to be equally effective and safe and neither has been associated with sudden cardiac arrest. This study suggests that high-dose nifedipine may increase the risk of sudden cardiac arrest due to fatal cardiac arrhythmia while amlodipine does not.

What are the most common side effects of diltiazem?

Common side effects

  • swollen hands, ankles or feet.
  • headaches.
  • feeling dizzy and lightheaded.
  • feeling tired, weak and generally unwell.
  • feeling hot (flushing) and redness of the skin.
  • itching or burning on the skin where you use the cream or ointment.
  • stomach pain, indigestion and constipation.

Can you live with a flutter?

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. If the clot breaks loose, it could lead to a stroke. Over time, atrial flutter can weaken your heart muscle.

Is there an absolute cure of atrial flutter?

There is not an absolute cure for atrial flutter. But that shouldn’t worry you a lot. Atrial flutter is a sort of supraventricular arrhythmias that appears with older people. It is not a life…

Can You Live a normal life with atrial flutter?

You should be able to live an active, normal life. However, there’s a significant risk that can get in the way of that. The biggest threat to a good prognosis with atrial fibrillation — or Afib — is having a stroke, and Afib increases your stroke risk considerably.

What are the symptoms and treatment of atrial flutter?

– Palpitations – Dizziness – Fatigue – Change in mental status – Dyspnea (breathlessness)

How do you treat atrial flutter?


  • ablation
  • medicines to control your heart rate such as beta blockers,calcium channel blockers and other anti-arrhythmic medicines.
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