Atrial flutter resident survival guide: Difference between revisions
Jump to navigation
Jump to search
| Line 23: | Line 23: | ||
*[[Cardiomyopathy natural history, complications and prognosis|Cardiomyopathy]] | *[[Cardiomyopathy natural history, complications and prognosis|Cardiomyopathy]] | ||
*[[Congenital heart disease]] | *[[Congenital heart disease]] | ||
*[[ | *[[Hypertensive heart disease]] | ||
*[[Hyperthyroidism history and symptoms|Hyperthyroidism]] | *[[Hyperthyroidism history and symptoms|Hyperthyroidism]] | ||
*[[Mitral stenosis|Mitral valve disease]]<ref name="pmid23280242">{{cite journal |author=Gutierrez SD, Earing MG, Singh AK, Tweddell JS, Bartz PJ |title=Atrial Tachyarrhythmias and the Cox-maze Procedure in Congenital Heart Disease |journal=Congenit Heart Dis |volume= |issue= |pages= |year=2012 |month=December |pmid=23280242 |doi=10.1111/chd.12031 |url=}}</ref> <ref name="Granada-2000">{{Cite journal | last1 = Granada | first1 = J. | last2 = Uribe | first2 = W. | last3 = Chyou | first3 = PH. | last4 = Maassen | first4 = K. | last5 = Vierkant | first5 = R. | last6 = Smith | first6 = PN. | last7 = Hayes | first7 = J. | last8 = Eaker | first8 = E. | last9 = Vidaillet | first9 = H. | title = Incidence and predictors of atrial flutter in the general population. | journal = J Am Coll Cardiol | volume = 36 | issue = 7 | pages = 2242-6 | month = Dec | year = 2000 | doi = | PMID = 11127467 }}</ref> | *[[Mitral stenosis|Mitral valve disease]]<ref name="pmid23280242">{{cite journal |author=Gutierrez SD, Earing MG, Singh AK, Tweddell JS, Bartz PJ |title=Atrial Tachyarrhythmias and the Cox-maze Procedure in Congenital Heart Disease |journal=Congenit Heart Dis |volume= |issue= |pages= |year=2012 |month=December |pmid=23280242 |doi=10.1111/chd.12031 |url=}}</ref> <ref name="Granada-2000">{{Cite journal | last1 = Granada | first1 = J. | last2 = Uribe | first2 = W. | last3 = Chyou | first3 = PH. | last4 = Maassen | first4 = K. | last5 = Vierkant | first5 = R. | last6 = Smith | first6 = PN. | last7 = Hayes | first7 = J. | last8 = Eaker | first8 = E. | last9 = Vidaillet | first9 = H. | title = Incidence and predictors of atrial flutter in the general population. | journal = J Am Coll Cardiol | volume = 36 | issue = 7 | pages = 2242-6 | month = Dec | year = 2000 | doi = | PMID = 11127467 }}</ref> | ||
Revision as of 19:46, 15 August 2013
| File:Critical Pathways.gif |
|
Atrial flutter Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Atrial flutter resident survival guide On the Web |
|
American Roentgen Ray Society Images of Atrial flutter resident survival guide |
|
Risk calculators and risk factors for Atrial flutter resident survival guide |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hilda Mahmoudi M.D., M.P.H.[2]
Definition
Atrial flutter is an abnormal heart rhythm that occurs in the atria of the heart.
Causes
Life Threatening Causes
Life-threatening causes include conditions which result in death or permanent disability within 24 hours if left untreated.
Common Causes
- Acute coronary syndromes
- Cardiomyopathy
- Congenital heart disease
- Hypertensive heart disease
- Hyperthyroidism
- Mitral valve disease[1] [2]
Management
Shown below is an algorithm summarizing the approach to atrial flutter.
| Atrial flutter | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Unstable | Stable | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| CHF, shock, acute MI | Rate control: AV-nodal blockers | Conversion DC cardioversion Atrial pacing Pharmacological conversion | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| DC cardioversion | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| If therapy for prevention of recurrences warranted | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Antiarrhythmic drugs | Catheter ablation | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Algorithm based on the 2003 ACC/AHA/ESC Guidelines for the Management of Patients With Supraventricular Arrhythmias[3]
References
- ↑ Gutierrez SD, Earing MG, Singh AK, Tweddell JS, Bartz PJ (2012). "Atrial Tachyarrhythmias and the Cox-maze Procedure in Congenital Heart Disease". Congenit Heart Dis. doi:10.1111/chd.12031. PMID 23280242. Unknown parameter
|month=ignored (help) - ↑ Granada, J.; Uribe, W.; Chyou, PH.; Maassen, K.; Vierkant, R.; Smith, PN.; Hayes, J.; Eaker, E.; Vidaillet, H. (2000). "Incidence and predictors of atrial flutter in the general population". J Am Coll Cardiol. 36 (7): 2242–6. PMID 11127467. Unknown parameter
|month=ignored (help) - ↑ "ACC/AHA/ESC Guidelines for the Management of Patients With Supraventricular Arrhythmias—Executive Summary". Retrieved 15 August 2013.