Acute Treatment of Atrial Flutter - Flowchart

Acute Treatment of Atrial Flutter - Flowchart

Acute Treatment of Atrial Flutter - Flowchart Atrial Flutter Atrial Flutter

«Flowchart»

Hemodynamically stable

Hemodynamically stable

Hemodynamically stable

Yes

Yes

Yes

No

No

No

Synchronized cardioversion^†, oral dofetilide, IV ibutilide, and/or rapid atrial pacing^†
(Class I)

Synchronized cardioversion^†, oral dofetilide, IV ibutilide, and/or rapid atrial pacing^†
(Class I)

Synchronized cardioversion^†, oral dofetilide, IV ibutilide, and/or rapid atrial pacing^†
(Class I)

^† ^† ^† ^†

End

End

End

IV β blockers, IV diltiazem, or IV verapamil
(Class I)

IV β blockers, IV diltiazem, or IV verapamil
(Class I)

β
IV β blockers β

IV amiodarone
(Class IIa)

IV amiodarone
(Class IIa)

IV amiodarone

Synchronized cardioversion
(Class I)

Synchronized cardioversion
(Class I)

Synchronized cardioversion
(Class I)

IV amiodarone
(Class IIa)

IV amiodarone
(Class IIa)

IV amiodarone
(Class IIa)

^* Anticoagulation as per guideline is mandatory.

^* Anticoagulation as per guideline is mandatory.

^* Anticoagulation as per guideline is mandatory.

^*

^† For rhythms that break or recur spontaneously, synchronized cardioversion, or rapid atrial pacing is not appropriate.

^† For rhythms that break or recur spontaneously, synchronized cardioversion, or rapid atrial pacing is not appropriate.

^† For rhythms that break or recur spontaneously, synchronized cardioversion, or rapid atrial pacing is not appropriate.

^†

IV, Intravenous.

IV, Intravenous.

IV, Intravenous.

IV

Treatment strategy

Treatment strategy

Treatment strategy

Rhythm control^*

Rhythm control^*

^* ^* Rhythm control[*]

Rate control

Rate control

Rate control

Treatment strategy

Treatment strategy

Treatment strategy

Rhythm control^*

Rhythm control^*

^* ^* Rhythm control[*]

Rate control

Rate control

Rate control