FAQ - atrial flutter
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atrial flutter?


anyone deal with this? please give some general info (symptoms, treatments, stories,...)
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atrial flutter is exactly what it says. Your atria is fluttering, it is not making full contractions. Your heart beat usually stays regular with this rhythm but can become extremely fast. Also, the number of times your atria contracts compared to your ventricle contractions will very. In your normal sinus rhythm (the normal rhythm of a health heart) your atria contracts once for every time your ventricle contracts, its called 1 to 1 conduction. In atrial flutter you can have up to 4 or 5 atrial contractions to every ventricle contraction. In addition to this, you can also go into whats called SVT. It stands for supra ventricular tachacardia, this means that your beat is starting above the ventricles and your ventricular rate is grater than 150 times a miunte. If this happens it can be very stressful on your heart, you will feels symptoms such as chest pain, short of breath, sweaty, racing heart, palpatations, light headed, dizzy, nausea. Treatment for Atrial flutter is a medication called cardizem, it slows down your attrial contractions and puts your heart back into a normal sinus rhythm. You can also try whats called a vegal manuver. What you are doing here is stimulating the vegus nerve in your body, dont do this if you are lightheaded or dizzy though or if you think your blood pressure is at all low. What you do to stimulate your vegus nerve is you bear down. A good way to do this is to hold your breath and take your hand and push in on your stomach as hard as you can while you tighten your stomach so your hand cant push in. Like I said though, if you have a low b.p. you can cause your self to pass out by doing this. I would make sure I could take me b.p. prior to doing this and make sure it is atleast 100 systolic. The last and most extreme treatment is electrical cardioversion. They have to shock your heart back into a normal rhythm.  (+ info)

Is there typically a release of cardiac enzyme after atrial flutter?


Blood tests show no release of cardiac enzyme. Wondering if this rules out atrial flutter as cause of middle-chest pain, trouble breathing.
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Atrial flutter needs an ECG for diagnosis. It is unlikely to cause elevation of cardiac enzymes. Symptom of atrial flutter is likely to be palpitation rather than chest pain, unless there is associated structural heart disease. Pure atrial flutter is an electrical disorder of the heart.  (+ info)

atrial flutter on an ekg DOES NOT have a p wave, so how is the atrial rate calculated?


I understand that the p wave is calculated either by the 6 second strip method, by the memory method or by the little block method. But, how is it possible to calculate the atrial rate if there is no p wave?
Thanks in advance.
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The biggest concern with atrial flutter is the rate of ventricular response. The flutter waves are large and it is very easy to calculate the atrial rate and the ventricular response. Are you thinking about atrial fibrillation where the p waves are small and chaotic making it next to impossible to calculate the atrial rate?  (+ info)

if somebody has a atrial fibrulation or atrial flutter heart cond. can it cause brain damage?


if somebody has had a atrial fibrulation or atrial flutter for years and years, is this something that could cause brain damage?
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There is a chance that a clot will form on the walls of the atria. The clot can break loose and lodge in the brain and cause a stroke. It could also lodge in a lung and cause a pulmonary embolism.

I am an RN.  (+ info)

How to Increase Fitness with Atrial Flutter?


with Atrial flutter it is said it makes your more less fit in cardio.. i seem to have loss some fitness because i havent bin walkin in about a week or so. is it possible to increase fitness because the lack of cardio can be a real difficult thing to work with
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If you have atrial flutter, you should be on medication to correct this condition. If it is now no longer atrial flutter because the medications are working, there shouldn't be any problem with going back to walking. But, you need to consult your physician about this because, if you have just started a new med for this condition, additional stress on your heart can put it back into atrial flutter. Only your doctor can give you the proper advice on this. - Give him a call.  (+ info)

What is the difference between atrial fibrulation and atrial flutter?


Here is the link explaining a-fib and it has charts and drawings too:
http://www.heartpoint.com/afib-tellme.html

Here is the link explaining a-flutter from the same site:
http://www.heartpoint.com/specific%20arrhythmias.html#anchor114437  (+ info)

What is the difference between atrial fibrillation and atrial flutter?


Atrial flutter and atrial fibrillation are very similar. In both arrhythmias, the atria beat much faster than normal. The main difference is that the atria beat regularly in atrial flutter and irregularly in atrial fibrillation.

In atrial fibrillation, the atria are stimulated to contract very quickly and differently from the normal pattern. The impulses are sent to the ventricles in an irregular pattern. This makes the ventricles beat abnormally, leading to an irregular (and usually fast) pulse.

In atrial flutter, the ventricles may beat very fast, but in a regular pattern.

Controlled A-Fib is a rate of 100 or less. Uncontrolled A-Fib is a rate greater than 100.

A-Flutter is a regular rhythm and rate is usually under 100.

Atrial flutter is usually temporary. Typically, it either goes away (with or without treatment) or changes into another arrhythmia, usually atrial fibrillation. Sometimes atrial fibrillation is intermittent. But it can become constant, with no periods of normal heart rhythm.  (+ info)

How do I calculate/obtain the atrial rate in atrial flutter on an EKG?


What is the Rate
The normal range is from 60 to 100 bpm. There are several ways to calculate the rate that are listed below. To calculate the atrial rate you can locate two consecutive p waves and measure the number of large boxes between them. If there is 1 large box between the p waves then the rate is 300 bpm, 2 large boxes equals 150 bpm, 3 large boxes equals 75 bpm, 4 large boxes equals 60 bpm, 5 large boxes equals 50 bpm, and 6 large boxes equals 40 bpm. To calculate the ventricular rate measure the distance between the R to R intervals and apply the same rules.
http://www.askdrwiki.com/mediawiki/index.php?title=EKG_Tutorial  (+ info)

Are there any contraindications to scuba diving with a heart condition, namely atrial flutter?


You should talk to your physician before you dive... that's just common sense, anyway, if you're planning to become a diver, but especially in the case of a cardiac problem.

Good luck.  (+ info)

What does atrial flutter feel like?


What would a person feel? atrial flutter, not atrial fib
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Out of nowhere my heart just went crazy...over 300bpm...hard to explain but it was so fast it was more like a vibration. I felt nauseous, had a pain in my chest and i thought i was going to faint. My atrial flutter was from vitamin B12 deficiency.  (+ info)

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