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