Cardiology

Atrial Flutter

심방조동

Reentrant atrial tachycardia (250-350 bpm) with sawtooth flutter waves on ECG

How common
Cardiovascular condition
Typical age
Variable age

What is it?

Core pathophysiology of Atrial Flutter.

Commonly affected: Affected cardiovascular structure

How it develops

  1. TriggerTriggering factor for Atrial Flutter
  2. Cardiovascular changeSpecific changes in cardiovascular structure
  3. ManifestationCharacteristic clinical features appear
  4. CourseCourse and complications depend on treatment

Symptoms

  • Characteristic cardiovascular symptomClassic Atrial Flutter presentation
  • Palpitations or dyspneaVaries by condition
  • Reduced exercise toleranceReduced cardiovascular function

How it is examined

  • Cardiac auscultation/inspectionMurmurs, gallops, JVP
  • ECG/echocardiogramKey diagnostic studies

Imaging

CXR assesses cardiomegaly/pulmonary status.

  • CXR findings

Echocardiogram or cardiac MRI for further assessment.

  • Echo findings

Non-surgical care

  • Medical therapyEvidence-based medication
  • Risk factor managementControl BP, lipids, DM
  • Lifestyle modificationDiet, exercise, smoking cessation

Conservative options are generally tried first. Medications listed here can have side effects — discuss them with your prescriber.

When surgery is considered

Failed medical therapy or progressive/high-risk

Procedures that may be discussed

  • Interventional procedure (PCI, ablation, etc.)
  • Cardiac surgery

Outlook

Good with appropriate therapy; complication prevention is key.

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