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Atrial Flutter Ablation

Cavotricuspid isthmus ablation in typical atrial flutter.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kardiyoloji department. Book Appointment →

What is Atrial Flutter Ablation?

Typical atrial flutter is a macroreentrant arrhythmia that passes through the cavotricuspid isthmus in the right atrium. Sawtooth flutter waves are characteristic on ECG. A ventricular rate of approximately 150 bpm is typically seen with 2:1 conduction.

Cavotricuspid isthmus ablation is a curative treatment with a success rate of over 95%. It is recommended as first-line therapy in recurrent flutters and in cases resistant to antiarrhythmic drug therapy.

Symptoms

Palpitations
Shortness of breath
Dizziness
Exercise intolerance
Presyncope or syncope
Chest pain

Risk Factors

Hypertension
Coronary artery disease
Heart failure
COPD
Previous cardiac surgery
Concurrent atrial fibrillation (common)

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Recurrent palpitation episodes
  • Flutter resistant to rate control medications
  • Flutter with hemodynamic instability
  • Anticoagulation decision (CHA2DS2-VASc assessment)

Treatment Methods

01
Cavotricuspid isthmus ablation (curative — 95% success)
02
Procedure duration 45-90 minutes
03
Confirmation of bidirectional block
04
Anticoagulation (at least 4 weeks after ablation)
05
Long-term anticoagulation decision when AF is concurrent
06
3-month follow-up ECG and Holter

Which Department to Visit?

You can visit our Kardiyoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Related Health Topics

Other articles from the same department you may want to explore.

Hypertension (High Blood Pressure)

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Hypertension is a condition in which blood pressure readings remain above 140/90 mmHg; early treatment helps prevent serious complications.

Coronary Artery Disease

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Narrowing of the coronary arteries due to atherosclerosis can cause chest pain (angina) and heart attack.

Heart Failure

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Heart failure is a chronic cardiac condition characterized by shortness of breath, leg swelling, and fatigue.

Heart Attack (Myocardial Infarction)

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A heart attack is a medical emergency; because heart muscle is lost by the minute, immediate intervention saves lives.

Atrial Fibrillation

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Atrial fibrillation is a common arrhythmia characterized by an irregular heartbeat and increased risk of stroke.

Heart Palpitations

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Palpitations are usually due to benign causes, but underlying cardiac rhythm disorders must be ruled out.

Heart Valve Diseases

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Valve stenosis or regurgitation increases the workload of the heart and, over time, can lead to heart failure.

Aortic Aneurysm

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Aortic aneurysms are often silent; early diagnosis allows treatment before rupture (a life-threatening tear).

Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.