What is the focus of the medical care for pediatric atrial flutter?

Updated: Feb 04, 2019
  • Author: M Silvana Horenstein, MD; Chief Editor: Syamasundar Rao Patnana, MD  more...
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Answer

In children with atrial flutter, medical care should be broadly directed at the following:

  • Ensuring hemodynamic stability before, during, and after conversion to sinus rhythm

  • Minimizing influences favoring initiation or maintenance of atrial arrhythmias (eg, electrolyte disturbances, pericardial effusion, indwelling atrial lines or catheters)

  • Excluding or managing complications (eg, ventricular dysfunction, thromboembolic phenomena)

Restoring drug therapy may be indicated in some children with atrial flutter. Drug therapy in these cases can be classified under the 3 broad headings of ventricular rate control, acute conversion, and chronic suppression.


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