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心力衰竭、呼吸困难、三尖瓣脱垂、胸闷、头晕、假日心脏综合征、心悸、心绞痛
Atrial flutter is an organized macroreentrant atrial tachycardia with sawtooth flutter waves (typically 300 bpm) and fixed AV conduction (often 2:1). Clinical: palpitations, dyspnea, similar stroke risk to AF. Treatment: rate control; anticoagulation (same as AF, CHA2DS2-VASc); cardioversion/antiarrhythmics for rhythm control; catheter ablation of cavotricuspid isthmus is curative for typical flutter.
Palpitations; sawtooth flutter waves; regular ventricular rate (often 150); similar stroke risk to AF
Right-atrial macroreentrant circuit (cavotricuspid isthmus) causes organized flutter.
Rate control; anticoagulation; cardioversion/antiarrhythmics; isthmus ablation curative for typical flutter
Anticoagulate; ablation curative; treat underlying causes.
It is recommended to visit the Cardiology/EP department; an appointment can be booked on this platform before the visit.
Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.
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