What are the treatment goals for symptomatic 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

General treatment goals for symptomatic atrial flutter are similar to those for atrial fibrillation and include the following:

  • Control of the ventricular rate
  • Restoration of sinus rhythm
  • Prevention of recurrent episodes or reduction of their frequency or duration
  • Prevention of thromboembolic complications
  • Minimization of adverse effects from therapy

However, these goals can be modified for each patient. In an acute setting with pending hemodynamic collapse, follow the adult advanced cardiac life support (ACLS) algorithms for managing atrial fibrillation and flutter. [12, 13] Consider immediate electrical cardioversion for patients who are hemodynamically unstable.


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