![]() This is a safe and minimally invasive procedure that cures atrial flutter. In many individuals, medications are ineffective or cause unwanted side effects which are at times worse than the symptoms of atrial flutter. This prevents the lower chambers from being over stimulated. Rate controlling medications allow atrial flutter to continue, but slow down the heart rate by acting on the AV node. Atrial flutter is sometimes managed with medications. Anti-arrhythmic medications prevent atrial flutter episodes, and these include sotalol, flecainide, and amiodarone. ![]() Arrhythmia medications may prevent recurrence, but are not as effective as catheter ablation. DCR does not prevent atrial flutter from returning: there is a 50% chance of developing atrial flutter again in the next 12 months. This “resets” the heart’s electrical system, allowing normal rhythm to resume. Atrial flutter can be terminated with an electrical shock to the chest, delivered under a very brief general anaesthesia. This may be warfarin, or one of the new generation of blood thinners: Pradaxa, Xarelto, or Eliquis. Depending on a number of factors, you may benefit from a blood thinner to prevent blood clot formation and stroke. In some individuals, atrial flutter promotes blood clot formation. Learn more about the different Heart Tests here. ![]() ![]() Your “ejection fraction” is a key measure of the strength of your heart. Echocardiogram – To evaluate the structure and function of your beating heart. Left atrial size is an important indicator of how established AF has become. Left ventricular size and function provide an idea of whether there is an element of heart failure accompanying your AF.However, if you are in atrial flutter, this assesses whether your heart rate is too rapid, or is well-controlled with medications. Holter monitor – To evaluate your heart rhythm over a 24 h period. If you are in normal rhythm, this may reveal episodes of AF that correspond with your symptoms, or which you may be unaware of.Blood tests – To determine if there is an underlying condition that has provoked your arrhythmia, such as thyroid or electrolyte disturbances and to check the condition of your liver and kidneys.You may require the following initial tests: ![]()
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