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

Clinical Decisions in Seconds