What are the ACC/AHA/HRS recommendations for rate control in ongoing 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

Administer beta blockers, diltiazem, or verapamil. (Class I recommendation)

  • Beta blockers are generally preferred in patients with heart failure.
  • Given the potential for accelerated ventricular rates degenerating to ventricular fibrillation, beta blockers, diltiazem, and verapamil should be avoided in patients with pre-excited atrial flutter.

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