Control of ventricular response in atrial flutter
The rate of ventricular response may be controlled by:
- digoxin
- beta-blockade
- verapamil
Amiodarone can be used in refractory atrial flutter.
As a last resort the atrioventricular node can be ablated and a permanent pacemaker inserted.
Note that verapamil and beta-blockers should not be given together because of the risk of severe bradycardia.
Reference
- National Institute for Health and Care Excellence. Atrial fibrillation: diagnosis and management. June 2021 [internet publication].
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