What is Heart Flutter?

Introduction

Heart flutter, also known as atrial flutter, is a type of abnormal heart rhythm (arrhythmia). It occurs when the atria (the upper chambers of the heart) beat too quickly, leading to inefficient blood flow. While similar to atrial fibrillation, atrial flutter usually has a more regular and organized electrical pattern.

Causes of Atrial Flutter

Atrial flutter is primarily caused by abnormal electrical circuits in the atria. Some common risk factors include: - Heart diseases: Coronary artery disease, heart failure, or valve disorders. - High blood pressure (hypertension). - Chronic lung disease. - Thyroid disorders (especially hyperthyroidism). - Alcohol abuse and stimulant use. - Post-heart surgery complications.

Symptoms of Atrial Flutter

Symptoms may vary but often include: - Rapid heart rate (tachycardia) - Palpitations (feeling the heart racing or fluttering) - Shortness of breath - Fatigue - Dizziness or lightheadedness - Chest discomfort

Diagnosis of Atrial Flutter

Doctors diagnose atrial flutter using: - Electrocardiogram (ECG): A key test to identify irregular rhythms. - Holter monitor: A wearable device that continuously records heart activity. - Electrophysiology study: A test that maps the heart’s electrical circuits.

Treatment of Atrial Flutter

Treatment options depend on severity and underlying causes and may include: 1. Medications: - Antiarrhythmic drugs to control heart rhythm (e.g., amiodarone, flecainide). - Beta-blockers or calcium channel blockers to slow heart rate. - Blood thinners (anticoagulants) to prevent stroke (e.g., warfarin, DOACs). 2. Cardioversion: Electrical shock therapy to restore normal rhythm. 3. Ablation therapy: A catheter procedure that targets and destroys abnormal heart pathways. 4. Lifestyle changes: Weight management, quitting smoking, limiting alcohol and caffeine, and regular physical activity.

Conclusion

Atrial flutter is a serious but manageable condition. Early treatment reduces the risk of complications such as stroke and heart failure. If you experience persistent palpitations or irregular heartbeat, seek medical evaluation promptly.

Source recommendations

1. American Heart Association Guidelines on Atrial Arrhythmias

  1. https://www.heart.org/en/health-topics/arrhythmia
  2. https://www.ahajournals.org/doi/10.1161/CIR.0000000000001193
  3. https://www.heart.org/en/health-topics/atrial-fibrillation
  4. https://professional.heart.org/en/science-news/2023-acc-aha-accp-hrs-guideline-for-the-diagnosis-and-management-of-atrial-fibrillation
  5. https://www.heart.org/en/health-topics/atrial-fibrillation/treatment-and-prevention-of-atrial-fibrillation/treatment-options-of-atrial-fibrillation-afib-or-af

2. European Society of Cardiology Guidelines on Supraventricular Arrhythmias

  1. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Supraventricular-Tachycardia
  2. https://academic.oup.com/eurheartj/article/41/5/655/5556821
  3. https://www.ahajournals.org/doi/10.1161/cir.0000000000000311
  4. https://pubmed.ncbi.nlm.nih.gov/14557344/
  5. https://www.ahajournals.org/doi/10.1161/01.cir.0000091380.04100.84

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