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Atrial flutter (AFL) is a common abnormal heart rhythm that starts in the atrial chambers of the heart. [1] When it first occurs, it is usually associated with a fast heart rate and is classified as a type of supraventricular tachycardia. [2]
Alternatively, an electrical cardioversion can be performed to stop the episode of flutter. These essentially depolarize all the atrial tissue at once and let the sinus node take control again. Finally, depending on the type of flutter—type 1 vs type 2, patients might be good candidates for a radiofrequency catheter ablation.
Sinus tachycardia is usually apparent on an ECG, but if the heart rate is above 140 bpm the P wave may be difficult to distinguish from the previous T wave and one may confuse it with a paroxysmal supraventricular tachycardia or atrial flutter with a 2:1 block. Ways to distinguish the three are: [citation needed]
A rapid regular rhythm is more likely to be secondary to paroxysmal supraventricular tachycardia or ventricular tachycardia, and a rapid and irregular rhythm is more likely to be an indication of atrial fibrillation, atrial flutter, or tachycardia with variable block. [1]
This ECG from the same patient shows atrial fibrillation at around 126 beats per minute. The most common complication of sinus node dysfunction is the development of tachycardia-bradycardia syndrome with abnormal atrial rhythms such as atrial tachycardia, atrial fibrillation, and flutter.
"Atrial flutter can make your heart’s upper chambers beat 250 to 350 times a minute. This causes your lower chambers to beat fast as a response, commonly as fast as 150 beats a minute or more."
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