Pharmacological cardioversion in atrial flutter
The drugs which can revert atrial flutter to sinus rhythm include:
- sotalol
- flecainide
- disopyramide
- propafenone
(Ibutilide and dofetilide, which are able to achieve very rapid cardioversion, are not currently available in the UK.)
It should be remembered that any antiarrhythmic can induce arrhythmia - in this case the ventricular response to the atrial activity may occasionally be accelerated.
Reference
- National Institute for Health and Care Excellence. Atrial fibrillation: diagnosis and management. June 2021 [internet publication].
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