This review summarizes contemporary approaches to the diagnosis and management of atrial flutter, highlighting the challenges of rate control compared to atrial fibrillation.
Rate control challenges in atrial flutter warrant clinical caution; leaves open optimal strategies versus AF pending prospective trials.
Diagnosis and treatment of atrial flutter (AF) is an important clinical task. Epidemiological data, electrophysiological mechanisms and updated classification of AF are presented as well as treatment algorithm that is suggested by leading experts. Two strategies of AF therapy are shown: "rhythm control" and "rate control". Author paid attention that ventricular rate reduction in AF is more difficult task than this in atrial fibrillation. Indications for different AF treatments are discussed: pharmacotherapy, pacing and cardioversion as well as surgical methods.
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Yu. А. Bunin (2011) studied this question.
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