Atrial Flutter

Question 1

Define Atrial Flutter:

Answer 1

Common abnormal heart rhythm that starts in the atrial chambers of the heart. When it first occurs, it is usually assocated with a fast heart rate and is classified as a type of supraventricular tachycardia. Atrial flutter is characterised by a sudden onset - usually regualr abnormal rhythm on an ECG, which the rate is fast. It is a form of supraventricular tachycardia with a succession of rapid atrial depolarisation waves.

Question 2

Atrial Flutter: Symptoms: 
C
B
P
S

Answer 2

Atrial Flutter: Symptoms: 
Chest Pain
Breathlessness
Palpitations
Syncope

Question 3

Atrial Flutter: Investigations: 
ECG
1.
2.
3.

Answer 3

Atrial Flutter: Investigations:
ECG
1. Continuous atrial depolarisation 300 bpm
2. Sawtooth Appearance
3. Flutter waves may be visible following carotid sinus massage or adenosine.

Question 4

Atrial Flutter: Treatment:
BB
CV
A, CIA

Answer 4

Atrial Flutter: Treatment:
Beta Blockers
Cardioversion
Amidarone, Cavotricuspid Isthmus Ablation (rarely used but curative)