Atrial Flutter

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Information about Atrial Flutter
Health & Medicine

Published on February 15, 2013

Author: AlMoaiqel1


Faisal A. Al Moaiqel 1 Atrial Flutter (Atrial flutter is most easily seen in lead II , also aVR & aVF leads)Introduction: Atrial  flutter  is  a  common  tachycardia  (fast  heart  beat)  that results from a rapid  electricalcircuit  in  the  atrium associate with irregular p­wave. It result from abnormal  path for the electricalimpulse  through  the  atria.  That  increase  the  contractility  of  atrium   up  to  250­350  beats  perminute.  In  other  word,  when  the  atrial  pulse  is  over  250  bpm,  and  there  is  no  flat  baselinebetween p­waves, “ atrial flutter ” is present. People with atrial flutter are more risky to get stroke.Causes 1 : The causes of Atrial flutter may divide into three main categories. 1. Conditions related to the heart : a. Decreased blood flow to the heart due to ischemia or atherosclerosis. b. Hypertension. c. Cardiomyopathy. d. hypertrophy of a chamber. 2. Diseases elsewhere in  the body: a. Hyperthyroidism. b. Pulmonary embolism. c. Chronic obstructive pumonary disease COPD or emphysema. 3. Substance may contribute to atrial flutter: a. Alcohol. b. Stimulants like: cocaine, amphetamines, cold medicine and even caffeine.1  "Atrial Flutter Causes ­ eMedicineHealth." 2006. 4 Feb. 2013<>

Faisal A. Al Moaiqel 2Signs and symptoms 2: The  electrical  signal  that  causes  atrial  flutter  circulates  in  an   organized,  predictablepattern.  This  means  that  people  with  atrial  flutter  usually  continue  to  have  a  steady  heartbeat,even   though  it  is  faster  than  normal.  It  is  possible  that  people  with  atrial  flutter  may  feel  nosymptoms at all. Others do experience symptoms, which may include: ○ Heart palpitations (feeling like your heart is racing, pounding, or fluttering) ○ Fast, steady pulse ○ Shortness of breath ○ Trouble with everyday exercises or activities ○ Pain, pressure, tightness, or discomfort in your chest ○ Dizziness, lightheadedness, or faintingTreatment 3 : The  treatment  of  atrial  flutter  is a  treatment  for  tachycardia.  Medication  are often used toslow  heartbeat, it  include:  beta  blocker,  calcium  channel  blocker  and  digoxin.  Patients  with  highrisk  to  stroke  if  they   associate  with  certain  factors.  They  prescribed  to  take  warfarin  and  otherblood thinner. There are 3 categories of treatment: 1.  Electrical cardioversion: It  is  a   procedure  involve  putting  the  patient  in  sleep  and  deliver  a  brief  electrical shock. This procedure is very effective but the atrial flutter may recurrence in the future. 2. Antiarrhythmic drugs: May use after electrical cardioversion 3. Catheter ablation: It  involves   the  placement  of  catheters  in  the  right   atrium.  These  catheters  may then  be  used  to  create  a  small  line  of  scar  tissue  that  blocks  the  atrial  flutter  circuit. Although  this procedure  is  highly  effective at eliminating atrial flutter and preventing future recurrences, not everyone is a candidate for catheter ablation of atrial flutter. People  with  a  history  of  atrial  flutter  have  a  risk  of  developing  these  other forms  of atrialarrhythmias  in  the  future.  The treatment of atrial flutter may reduce,  but not completely eliminate,the risk of these other arrhythmias. Thanksi’d be happy to read your comments and opinion on my page on SlideShare:  "Atrial Flutter (AFL) ­ Heart Rhythm Society." 2012. 4 Feb. 2013<­Resources/Heart­Diseases­Disorders/Atrial­Flutter>3  Boyer, M. "Atrial Flutter ­ Circulation." 2005. <>

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