ABSTRACT

Ablation of cavotricuspid isthmus (CTI)-dependent atrial flutters Atypical RA flutter Left atrial flutter

The effect of atrial flutter (AFL) on the hemodynamic status of the patient is a key determinant of the management strategy as to whether an immediate cardioversion or pharmacologic therapy should be attempted. AFL carries a moderate risk of systemic thromboembolism and thus effective therapy is of great importance. The 2003 ACC/AHA/ESC practice guidelines for the management of supraventricular arrhythmias provide recommendations on how to manage AFL in its acute and chronic states1,2 (Figure 23.1).