Treatment of Atrial Tachycardia in Atrial Flutter or Macro-Re-Entrant Atrial Tachycardia Without Haemodynamic Instability

This protocol covers atrial tachycardia presenting as atrial flutter or macro-re-entrant atrial tachycardia in haemodynamically stable patients. The immediate clinical priority is control of the rapid ventricular rate.

Clinical Scenario

Atrial flutter or macro-re-entrant atrial tachycardia without haemodynamic instability. The patient is stable and does not require emergency cardioversion; the focus is on achieving ventricular rate control.

Treatment Approach

Intravenous rate control therapy is the recommended approach to manage the rapid ventricular rate. The full regimen, agent selection, and sequencing are detailed in the complete protocol.

Treatment Goal

Control of the rapid ventricular rate.

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References

DOI: 10.1093/eurheartj/ehz827

i.v. beta-blockers or non-dihydropyridine calcium channel blockers (verapamil or diltiazem) (i.v.), should be considered for control of rapid ventricular rate.

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