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Revision as of 16:49, 10 March 2014 by Vidit Bhargava (talk | contribs)
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Atrial flutter
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Unstable
 
 
 
 
 
Stable
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Look for the presence of any of these:
Chronic heart failure
Hypotension
Acute myocardial infarction
Attempt to terminate flutter with DC cardioversion
 
 
 
 
 
❑ Administer anticoagulation therapy based on the risk of stroke if total duration of flutter > 48 hours
Administer rate control therapy (AV nodal blockers)
THEN
Attempt conversion
DC cardioversion
Atrial pacing
Pharmacological cardioversion
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Assess need for therapy to prevent recurrence
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Antiarrythmic therapy
Catheter ablation