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How to Treat Atrial Flutter?

  • July 26, 2023
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How to Treat Atrial Flutter?

Things to note:
Synchronised DC cardioversion, 200 J, after sedation with:
  • Diazepam, IV, 10-20 mg.
If flutter has been present longer than 48 hours, defer cardioversion until after 4 weeks anticoagulation with warfarin, unless serious symptoms or heart failure require urgent cardioversion.
Medical Treatment:
  • DC cardioversion is the most effective therapy.
  • Do not use verapamil as it will not convert flutter to sinus rhythm and may cause serious hypotension.
  • Anticoagulants if sustained.
Long-term therapy
  • Recurrent atrial flutter is an indication for referral as some may be cured by radio-frequency catheter ablation.

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