Atrial Flutter

Cardiology

Macro-reentrant atrial arrhythmia (atrial rate ~300).

Investigations

  • ECG: sawtooth F-waves inferior leads
  • Echo, TSH

Management

  • Rate control: β-blocker/CCB
  • Rhythm: DC cardioversion 50-100 J, ibutilide, or catheter ablation (CTI ablation curative)
  • Anticoagulation as per AF (CHA2DS2-VASc)

Related in WardRound

Educational — verify locally.

WardRound

WardRound

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