Most people see improvements in their quality of life after this type of cardiac ablation, but there's a chance the atrial flutter may return. ResultsĪfter atrial flutter ablation, you'll need regular checkups to monitor your heart. Afterward, you'll be taken to a recovery area where care providers will closely monitor your condition.ĭepending on your condition, you may be allowed to go home the same day or you may spend a night in the hospital. The scarring helps block the electrical signals that are causing the atrial flutter.Ītrial flutter ablation typically takes two to three hours. Heat (radiofrequency energy) is applied to the target area, damaging the tissue and causing scarring. This information is used to determine the best place to apply the ablation treatment. Sensors on the tip of the catheter send electrical impulses and record the heart's electricity. The doctor inserts a long flexible tube (catheter) into the vein and carefully guides it into your heart. Once the sedative takes effect, a small area near a vein, usually in your groin, is numbed. You'll likely receive a medication to help you relax (sedative). What you can expectĪtrial flutter ablation is done in the hospital. Atrial flutter ablation may restore a typical heart rhythm, which may improve quality of life. Less commonly, atrial activation can be in a clockwise fashion, and thus electrocardiographic appearance is different, one is unable to differentiate it easily from not isthmus-dependent atrial flutter.Ĭopyright © 2023, StatPearls Publishing LLC.Atrial flutter ablation is done to control the signs and symptoms associated with atrial flutter. The atypical atrial flutter is independent of the CTI, and the origin of the arrhythmia can be in the right atrium or the left atrium. Typical atrial flutter is seen in the electrocardiogram as continuous negative modulation in inferior leads (II, III, and AVF) and flat atrial deflections in leads I and aVL this is due to the way of propagation and activation of the macro-reentrant circuit as will be described in the pathophysiology section. Typical or cavotricuspid isthmus (CTI) dependent is the most common type of atrial flutter this rhythm originates in the right atrium at the level of the tricuspid valve annulus. Electrical axis of the flutter waves can help to determine the origin of the atrial flutter. Electrocardiographic findings of atrial flutter are flutter waves without an isoelectric line in between QRS complex. In this review will summarize the management of atrial flutter.Ītrial flutter is one of the most common arrhythmias and is characterized by an abnormal cardiac rhythm that is fast with an atrial rate of 300beats/min and a ventricular rate that can be fixed or be variable that can cause palpitations, fatigue, syncope, and embolic phenomenon.Ītrial flutter is a macro-reentrant tachycardia and depending on the site of origin can be typical or atypical atrial flutter. Atrial fibrillation and atrial flutter are the most common of these atrial arrhythmias, and the other less common supraventricular arrhythmias are atrial tachycardias, atrioventricular reentrant tachycardia, atrioventricular nodal tachycardia, and others. Supraventricular arrhythmias are a diverse group of atrial arrhythmias.
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