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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES & RELATED

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Saturday, July 3, 2021

Atrial Flutter

EmDocs - July 03, 2021 - By Katherine M. Buckley
Reviewed by: Alex Koyfman and Brit Long
Pearls:
  • A regular, narrow-complex tachycardia with a rate of 150 beats/min (+/- 5 beats/min) strongly suggests atrial flutter with 2:1 conduction2
  • CCB and beta-blockers for rate control in the stable patient
  • Synchronized cardioversion (25-50J) in the unstable patient
  • Adenosine can slow down rate long enough to expose flutter waves
  • Flutter also requires thromboembolic risk stratification for anticoagulation