Friday, May 19, 2017

Cardioversion of Atrial Flutter

The patient was placed on Cardizem for atrial flutter with a rapid ventricular response but he did not achieve good rate control.  Beta blockers were tried next but without good rate control.  Lastly, an Amiodarone infusion was started. The rate was controlled but he remained in atrial flutter.  After adequate anticoagulation and a TEE study, he was successfully cardioverted with one shock at 50 J.

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