Atrial flutter is a heart condition in which the atria fires off multiple ectopic pacemakers causing a flutter of atrial contraction and increasing the rate of ventricle contraction. Atrial flutter occurs most commonly in people who have a variety of cardiac diseases, however, it has been noted in some people who have an otherwise normal heart. Atrial flutter is not a sustainable rhythm and generally either self-resolves or progresses to atrial fibrillation.
Atrial Flutter ECG
Heart Rate: greater than 100 per minute.
Pacemaker Site: multiple ectopic atrial pacemaker sites.
P-waves: absent, but replaced with multiple “F” waves .
QRS complex. Normal.
Atrial Flutter Signs and Symptoms
People who have atrial flutter are likely to have the following signs and symptoms:
1. Signs associated with poor perfusion, such as pale, cold, clammy skin. Some diaphoresis may be present.
2. Symptoms such as the sensation of a racing heart (palpitations).
3. In many cases the person may have no symptoms at all.