What is the role of ventricular response rate control in the management of atrial flutter (AFL)?

Updated: Nov 18, 2019
  • Author: Lawrence Rosenthal, MD, PhD, FACC, FHRS; Chief Editor: Jeffrey N Rottman, MD  more...
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Answer

Intervening to control the ventricular response rate or to return the patient to sinus rhythm is important. Consider immediate electrical cardioversion for patients who are hemodynamically unstable. Consider catheter-based ablation as first-line therapy in patients with typical atrial flutter if they are reasonable candidates. Ablation is usually performed as an elective procedure; however, it can also be performed when the patient is in atrial flutter. (See Treatment.)


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