![]() The irregularity in heart rhythm is often only discovered during routine tests or investigations for another condition. Recurrence of atrial flutter after cardioversion alone is common.Some people with atrial fibrillation, particularly older people, do not have any symptoms. Cardioversion. Cardioversion restores normal heart rhythm using a brief electric shock through the chest.Anti-arrhythmic drug therapy. Anti-arrhythmic drugs restore normal heart rhythm by slowing the movement of the impulse through heart tissue or lengthening the shortest time possible between two connective beats.A doctor may prescribe rate-control medications, such as beta-blockers, calcium channel blockers, and digitalis, as well as anticoagulation medication such as Coumadin. Rate control and anticoagulation. These medications help return the heart to its normal rate and prevent clots from forming.This cures atrial flutter, and is the most effective treatment for this arrhythmia. The short circuit, which causes atrial fibrillation, is eliminated by heating the electrode with radiofrequency energy. Ablation. This is performed by threading an electrode into the right atrium with a catheter through a vein in the leg.To accomplish this, a cardiologist may use medical therapies such as: The goal of treatment for atrial flutter is to control the heart rate and rhythm and to prevent the risk of stroke. Trans-esophageal echocardiogram. This test produces real-time moving images on a monitor, taken from inside the esophagus and stomach.Event recorder. An event recorder is activated during episodes of fibrillation and records the heart rhythm at that time.Holter monitor. This device monitors and records the heart rhythm continuously for 24-48 hours.Electrocardiogram. This device tracks and graphs heart rhythm using electrical signals from the heart. ![]() At Boston Medical Center, skilled electrophysiologists use several different tests to help diagnose atrial flutter, including: Those suspected to have an atrial flutter will be referred to an electrophysiologist. In addition, some substances can contribute to atrial flutter, including alcohol, cocaine, amphetamines, and cold medicines 3. What causes atrial flutter?Ĭauses of atrial flutter include coronary heart disease, myocardial infarction (heart attack), hypertension (high blood pressure), congestive heart failure, heart valve abnormalities, hyperthyroidism and/or lung diseases such as emphysema, chronic bronchitis, or asthma. Some people, however, don't experience any symptoms. Symptoms can include feeling of fluttering or pounding in the chest (palpitations), shortness of breath, anxiety, weakness or fatigue, angina (chest pain), and/or syncope (fainting). Left untreated, atrial flutter can lead to an increased risk of stroke. When atrial flutter lasts longer-often for days to weeks at a time-it is called persistent atrial flutter. Atrial flutter that comes and goes is known as paroxysmal atrial flutter. We offer diagnosis and treatment in over 70 specialties and subspecialties, as well as programs, services, and support to help you stay well throughout your lifetime.Ītrial flutter occurs when the heart beats too quickly (typically 300 beats per minute) and therefore cannot pump blood efficiently. BMC physicians are leaders in their fields with the most advanced medical technology at their fingertips and working alongside a highly skilled nursing and professional staff.
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