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Atrial Flutter

Atrial flutter is an abnormal heart rhythm where the atria beat too fast. An ECG can detect atrial flutter based on changes in the P wave and heart rate. Symptoms include palpitations, dizziness, and fatigue. Treatment options include catheter ablation to destroy abnormal pathways or cardioversion to shock the heart back into normal rhythm, along with medications to prevent blood clots and control heart rate. The elderly, those with heart conditions, and smokers are most at risk. Complications can include stroke from blood clots if not properly treated.

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100% found this document useful (1 vote)
260 views

Atrial Flutter

Atrial flutter is an abnormal heart rhythm where the atria beat too fast. An ECG can detect atrial flutter based on changes in the P wave and heart rate. Symptoms include palpitations, dizziness, and fatigue. Treatment options include catheter ablation to destroy abnormal pathways or cardioversion to shock the heart back into normal rhythm, along with medications to prevent blood clots and control heart rate. The elderly, those with heart conditions, and smokers are most at risk. Complications can include stroke from blood clots if not properly treated.

Uploaded by

api-527603714
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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ATRIAL

FLUTTER
Samantha McGarity
What is
ECG?
■ ECG stands for
“electrocardiogram.”
■ It checks for electrical heart
rate and rhythm by placing
sensors on the body to tell
the monitor when the heart
is beating.
How can ECG be
used to identify
arrythmias?
■ ECG checks for a steady
electrical impulse, so when
there is a beat that is out of
place or off-rhythm, it can
tell.
■ Sometimes a part of the ECG
will spike too high, and
sometimes an impulse will be
missing altogether, depending
on the arrythmia.
“Norms” of ECG

■ When testing with an ECG, a normal heart


rate would be somewhere in between 60 and
100 bpm.
■ A normal ECG impulse should have a P
wave, a QRS complex, and a T wave (in that
order).
■ The rate, rhythm, waves, and pacemaker are
all part of what make the electrical impulses
from the heart appear successful and normal
on the ECG.
Components of
ECG: P Wave
■ The P wave is the atrial
depolarization of the
heartbeat.
■ When everything is going
smoothly (“norm”), the P
wave should be before the
QRS complex and all the P
waves in the ECG signature
should be close to or perfectly
symmetrical.
Components of
ECG: QRS
Complex
■ The QRS complex is the
ventricle depolarization of the
heartbeat.
■ When everything is going
smoothly (“norm”), the QRS
complex should be in between
the P and T wave, pulsing at a
rate of 60-100 bpm.
■ The length in between two QRS
complexes on an ECG will tell
you a person’s heart rate.
Components of
ECG: T Wave
■ The T wave is the
repolarization of the
ventricles.
■ When everything is going
smoothly (“norm”), the T
wave should be after both the
P and the QRS wave and
should be slightly larger than
the P wave.
Components of ECG:
ST Segment
■ The ST segment is the time between
ventricle depolarization and repolarization.
■ When everything is going smoothly
(“norm”), the ST segment should be in the
area between the end of the QRS complex
and the beginning of the T wave.
■ The ST segment should last approximately
0.04 seconds.
What is Atrial
Flutter?
■ An atrial flutter occurs when
the short circuit works around
the right atrium, not allowing
the chamber to do their job
and fill back completely
before the next impulse.
■ This causes a quicker, but still
in rhythm, heart rate.
Symptoms of
Atrial Flutter
■ Stroke
■ Heart palpitations
■ Fatigue/ Dizziness
■ Trouble breathing
■ Fainting
ECG
SIGNATUR
E OF
ATRIAL
FLUTTER
Methods of
diagnosis for
Atrial Flutter
■ Using an ECG to pick up
on atrial flutter is the main
method of diagnosis.
■ If an ECG is insufficient
in diagnosing the atrial
flutter, a Holter or event
monitor can be used, as
well as an
electrophysiological
study.
Treatment for
Atrial Flutter
■ Catheter Ablation (with
electrophysiological study):
Destroys electrical pathways
■ Cardioversion: Small shock
to the heart to go back into
rhythm
■ Medication to control rhythm
and prevent blood clotting
Cardiac Medications
Involved in Treatment
of Atrial Flutter

■ Beta blocker
■ Calcium channel blocker
■ Anticoagulant
■ Antiarrhythmic
Who is most
susceptible to Atrial
Flutter?
■ Elderly people
■ A high blood pressure or an
underlying health/ heart
condition
■ Drinking/ addiction
■ Family history of heart issues
Complications
of Atrial Flutter
■ Blood clotting can occur
in the atriums, which can
lead to a stroke if not
properly treated in time.
■ If the atrial flutter remains
untreated for a long
period of time, it can
weaken the heart (called
cardiomyopathy).

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