AHA GUIDELINES Bundle (free trial)

Supraventricular Tachycardia

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Figure 11. Ongoing Management of Atrial Flutter Atrial flutter Catheter ablation (Class I) Treatment strategy Beta blockers, diltiazem, or verapamil (Class I) Flecainide or propafenone (in the absence of SHD) b (Class IIb) a Aer assuring adequate anticoagulation or excluding LA thrombus by transesophageal echocardiography before conversion. b Should be combined with AV nodal-blocking agents to reduce risk of 1:1 conduction during atrial flutter. Rate control Rhythm control a If ineffective Amiodarone, dofetilide, or sotalol (Class IIa) Options to consider 23

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