Which treatments should be considered prior to antiarrhythmic drug therapy for 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

If intervention is required, always consider catheter-based ablation before starting an antiarrhythmic agent. Radiofrequency ablation is currently the preferred therapeutic choice. With lifelong antiarrhythmic drug therapy, fatal proarrhythmic events (even in healthy hearts) and organ toxicity may occur.


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