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

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.

^†

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

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