Atrial Flutter: Symptoms and Clinical Picture

Introduction

Atrial flutter is a type of abnormal heart rhythm (arrhythmia) that occurs when the atria (upper chambers of the heart) beat too quickly. This can lead to inefficient blood circulation and an increased risk of complications such as stroke or heart failure.

Symptoms

The signs of atrial flutter can vary based on the patient’s overall health and the presence of other cardiovascular conditions. Common symptoms include:

1. Palpitations

  • Sensation of a fast, fluttering, or pounding heartbeat.

2. Shortness of breath (Dyspnea)

  • Difficulty breathing, especially during exertion.

3. Chest discomfort

  • A feeling of pressure, pain, or tightness in the chest.

4. Dizziness or lightheadedness

  • Reduced blood flow to the brain may cause episodes of faintness.

5. Fatigue

  • The heart’s inefficiency can lead to a lack of oxygen supply to the muscles, causing tiredness.

6. Syncope (Fainting)

  • In severe cases, reduced blood flow can cause complete temporary loss of consciousness.

Possible Complications

  • Increased risk of stroke due to blood clots forming in the heart.
  • Heart failure due to persistent inefficient pumping.
  • Worsening of underlying heart disease.

Conclusion

If you experience any of these symptoms, you should seek medical consultation. Atrial flutter can often be managed effectively with medication, lifestyle modifications, or procedures such as catheter ablation.

Source recommendations

1. 2023 American Heart Association/American College of Cardiology/Heart Rhythm Society Guideline for the Management of Patients With Atrial Fibrillation

  1. https://www.ahajournals.org/doi/10.1161/CIR.0000000000001193
  2. https://pubmed.ncbi.nlm.nih.gov/38033089/
  3. https://www.hrsonline.org/guidance/clinical-resources/2023-accahaaccphrs-guideline-diagnosis-and-management-patients-atrial-fibrillation
  4. https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2023/11/27/19/46/2023-acc-guideline-for-af-gl-af
  5. https://professional.heart.org/en/science-news/2023-acc-aha-accp-hrs-guideline-for-the-diagnosis-and-management-of-atrial-fibrillation

2. 2020 European Society of Cardiology Guidelines for the diagnosis and management of atrial fibrillation

  1. https://pubmed.ncbi.nlm.nih.gov/32860505/
  2. https://academic.oup.com/eurheartj/article/42/5/373/5899003
  3. https://www.escardio.org/static-file/Escardio/Guidelines/Documents/ehaa612.pdf
  4. https://www.ahajournals.org/doi/10.1161/CIR.0000000000001193
  5. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Atrial-Fibrillation

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