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Atrial flutter

Also known as Flutter Auricular

Atrial flutter (AFL) is an abnormal heart rhythm that occurs in the atria of the heart. When it first occurs, it is usually associated with a fast heart rate or tachycardia (beats over 100 per minute), and falls into the category of supra-ventricular tachycardias. While this rhythm occurs most often in individuals with cardiovascular disease (e.g. hypertension, coronary artery disease, and cardiomyopathy) and diabetes, it may occur spontaneously in people with otherwise normal hearts. It is typically not a stable rhythm, and frequently degenerates into atrial fibrillation (AF). However, it does rarely persist for months to years.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with atrial flutter, 70% report having irregular heartbeat, 50% report having increased heart rate, and 48% report having palpitations. The symptoms that are highly suggestive of atrial flutter are irregular heartbeat, increased heart rate, palpitations, and feeling hot, although you may still have atrial flutter without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with atrial flutter often receive electrocardiogram, hematologic tests, radiographic imaging procedure, complete blood count, electrolytes panel, glucose measurement, kidney function tests and plain x-ray .

Common Medications

The most commonly prescribed drugs for patients with atrial flutter include warfarin, furosemide, diltiazem, digoxin, carvedilol, amiodarone, sotalol, spironolactone, enoxaparin (lovenox), flecainide, propafenone, adenosine and colchicine .

Warfarin
$12
(28 days)
Furosemide
$4
(28 days)
Diltiazem
$31
(28 days)
Digoxin
$6
(28 days)
Carvedilol
$16
(28 days)
Amiodarone
$18
(28 days)
Sotalol
$19
(28 days)
Spironolactone
$11
(28 days)
Enoxaparin (Lovenox)
$467
(7 days)
Flecainide
$39
(28 days)
Propafenone
$93
(28 days)
Adenosine

Colchicine
$30
(28 days)

Who is at risk?

Groups of people at highest risk for atrial flutter include age 75+ years age 60-74 years. On the other hand, age 5-14 years, age 1-4 years, and age < 1 years almost never get atrial flutter.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.0x
15-29 years
0.2x
30-44 years
0.2x
45-59 years
0.8x
60-74 years
2.9x
75+ years
3.8x

Sex

Male
1.5x
Female
0.6x

Race/Ethnicity

Black
0.8x
Hispanic
0.4x
White
1.3x
Other
0.1x
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