Cardiology
Atrial Flutter Management
Distinguish typical (cavotricuspid isthmus-dependent) from atypical, rate vs rhythm control, ablation curative for typical.
Source: ESC 2024 AF/flutter; AHA/ACC/HRS
Step 1 of ~6
info
ECG Recognition
Sawtooth flutter waves (negative in II, III, aVF for typical counter-clockwise; positive for clockwise). Atrial rate ~300/min; ventricular rate often 150 (2:1 block) — easily missed. Carotid massage / adenosine slows AV conduction transiently → exposes flutter waves.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Insulin (IV Infusion — ICU Glucose Control) · Insulin — ICU Glucose Management
- Dopamine (ICU — Vasopressor/Inotrope) · Catecholamine (Dose-Dependent Vasopressor/Inotrope)
- Sodium Chloride 3% (Hypertonic Saline) · Hypertonic Electrolyte Solution — ICP/Hyponatraemia Management
- Dopamine hydrochloride · Inotrope / vasopressor (dose-dependent)
- Vernakalant · Atrial-selective antiarrhythmic
- Dopamine · Catecholamine vasopressor / inotrope (dose-dependent)
Pathways
- Acute Heart Failure · ESC 2021 Heart Failure Guidelines; NICE NG106
- NSTEMI / Unstable Angina · ESC 2020 NSTEMI Guidelines; NICE NG185
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines
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