Heart Disease Expert Forum
A-Flutter
About This Forum:

This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

A-Flutter

Dr.
Can A-Flutter cause damage to the heart muscle if the rate is controlled?

The A-Flutter is constant. Meds (Verapamil and Toprol) seem to be doing their job. But over time, if sinus rhythm is not restored, does this put an extra strain on the heart?

Can A-Flutter turn into A-Fib?
Does A-Flutter carry the same risk as A-Fib in terms of "remodeling"?
Is it possible for A-Flutter to resolve on it's own?

Thank you.

Related Discussions
  • Re: Atrial Flutter
    Posted By CCF CARDIO MD - CRC on February 03, 1999 at 14...[more]
  • Atrial Flutter (3 replies):
    Could somebody please clarify for me, If i've had atri...[more]
  • Flutter (3 replies):
    When I ws 6 years old, I was diagnosed with atrial septa...[more]
  • hey (1 replies):
    this is for dquenzer are you sayin atrial flutter cant ...[more]
  • atrial flutter (2 replies):
    hi i have pacs and pvcs and have done since november 20...[more]
Avatar_n_tn
The flutter, when well rate controlled, does not cause damage to the ventricles of the heart, the pumping chambers.  It may, however, cause damage to the atria, where the flutter actually takes place.  It may cause the atria to remodel making it more difficult to convert to NSR.  The longer one is in flutter, the harder it is to convert to NSR.  Therefore, younget patients benefit the most from aggressive therapy, be it medications that can convert you to NSR versus flutter ablation.  The medications you are on right now will only control the rate of your flutter, they are unlikely to convert you to NSR.  A flutter can turn into atrial fibrillation as well.  Again, the longer you are in flutter, the more likely you are to develop atrial fibrillation.  There are some reversible causes of atrial flutter such as thyroid abnormalitis or caffeine consumption or alcohol, however, for the most part once someone has flutter, even though, they may be out of it for some time, they usually develop it due to structural or valvular abnormalities of the heart, and we treat it as such.  The risk of thromboembolic complications (stroke, etc) is similar between flutter and atrial fibrillation.  We recommned anticoagulation.  Typically, flutter develops in those with CAD or HTN or valvular heart disease, and unless those are controlled or corrected it is unlikley that it will resolve by itself.
2 Comments
Blank
Avatar_n_tn
A related discussion, mini-maze was started.
Blank
1420233_tn?1282354885
A related discussion, a fib was started.
Blank
Continue discussion Blank
Blank
Request an Appointment
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
Aug 28 by Roger Gould, M.D.Blank