Which clinical history findings are characteristic of pediatric atrial flutter?

Updated: Feb 04, 2019
  • Author: M Silvana Horenstein, MD; Chief Editor: Syamasundar Rao Patnana, MD  more...
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The setting and associated features of atrial flutter are an important aspect of the assessment of atrial flutter. This information may guide the design of a treatment plan, particularly in patients with repaired congenital heart disease.

Atrial flutter may be perceived as a regular or irregular palpitation, the latter suggesting variable atrioventricular (AV) conduction. The flutter may be associated with syncope, severe presyncope, or chest pain, suggesting either periods of 1:1 conduction ratio or associated ventricular dysfunction. Characterizing a history of previous self-terminating episodes is important. Rare and minimally symptomatic self-terminating episodes of atrial flutter are likely to require less treatment.

The presence of associated sinus node disease with episodes of sinus bradycardia may provide an indication for pacemaker therapy. This finding also adds to the antiarrhythmic medical options for atrial flutter.

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