AF Association
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Atrial flutter Not Afib

In 2010 i was told that I had Afib after catching it on a cardiocall machine (think that is what it is called).

Since then had a dozen or so EGC's and never been caught even though my heart was racing.

At the time i was subscribed 2 x 100mg of Flecainide. After some years due to not having many episodes I rightfully or wrongfully reduced it myself to 1 tablet a day.

I still didn't have many episodes and cycled like mad without any real problems.

Today i went to see a Cardiologist at Musgrove Park Hospital Taunton just because I had been having a few flutters and not seen anyone for sometime.

He looked at the original reading that said i have Afib and said it was Atrial Flutter and if i wanted to do come off Flecainide i could as this type of medication wasn't really for Flutter.

I am more than happy to stop taking meds as hated it.

The thing is i done a lot of reading on Afib but really don't know much about Flutter..Any ideas?

15 Replies
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If you saw an EP they would be able to diagnose the difference between AF & AFl.

AF = an irregular, irregularity - so your pulse feels very irregular. Easy to see on an ECG as there is no P wave.

AFl = a regular, irregularity so your pulse can feel quite regular but your heart can beat fast but on an ECG it looks like a saw tooth pattern.

You may find this site helpful:-

medicinenet.com/atrial_flut...

1 like
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They are often linked and people have both at varying times. Flutter is much easier to ablate - can be a faster rate than AF- not always!!

Hope you stay well

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Great news that you have been told no more Flecainide. I would always wean yourself off slowly.

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I think that's good advice and will do

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Thanks for the replies.

My pulse has only ever been fast and regular.

I saw an EP at Bristol some years ago who put me on meds.

I am going to reduce the tablets and see how things go.

Was told if i had any concerns i can go back to see him.

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Just being nosy, who did you see? The cardiologists at Musgrove seem to be very clued up about arrhythmias although not EPs.

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I saw Dr Richard Kilbey. I thought he was very good. We did spend a lot of the time talking about New Zealand as it seems we both lived in the same area at the same time. Small world.

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When I first had problems it was Flutter and I had Ablation for flutter. During that ablation I got AFib. There is a good description of the differences here. I am only adding for me there were no differences in my symptoms. Coming off meds you don't need is a good thing.

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EP doctor should be able to ablate your flutter line. Flutter is worse than Afib. Go see an EP for an opinion.

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Thanks for your reoly. Can i ask why a flutter is worse than Afib. Thanks

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I think it's because of the extremely fast heart rate caused by flutter.

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chris45558

Interesting question. I have persistent AFlutter but it feels like NSR 60 bpm at the wrist because I have AFL with 5:1 block.

Do you have Kardia and Apple Watch?

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Hi my resting pulse is around 65. Its same at my wrist and also on the Kardia and my Wahoo cycle HR chest strap

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chris45558

I have Kardia but am looking at Apple Watch. Have you considered it? Could be good good for picking up bradycardia and pauses, whether natural or drug related.

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To be honest never knew an Apple watch was for that.

I went for a bike ride yesterday and heart rate was around 170 but pushing at times. I checked other members heart rates and most were the same. Pulse was back to normal after i had finished. Only taking half of a 100mg tablet but tomorrow stopping completely.

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