a- flutter

[Figbar]

Hi all;

I think I’m in flutter; first time.

Kardia reads unclassified at 124 BPM.

Regular beat , not irregular like fib.

I’ve taken an extra 30mg diltiazam( drinking water, resting.

Call into cardiologist,

Thoughts?

Thank you

[wilsond]

Sounds like it to me. Fast,regular..

[Figbar in reply to wilsond]

Back from ER.Cardiazam push/drip effective treatment to get into NSR.

Diltiazam increased.

Maybe looking toward adding Flecanide, sooner than later?!

Thank you

[wilsond in reply to Figbar]

If they do,make sure.a beta blocker.goes along with it. Also,flutter is best dealt with by CTI line abkation 95 to 99% success rate. Resistant to rythym drugs,although they help

[Figbar in reply to wilsond]

I take Diltiazam ( not great with beta blockers).Yes, I understand catheter ablation is very effective for flutter .

Thank you so much!

[Singwell in reply to Figbar]

Diltiazem is also an AV node blocker so it will act as an effective partner to the Flecainide if you go on it instead of a beta blocker.

[Figbar in reply to Singwell]

Thanks. I don’t do well on beta blockers.Trying an increase in my Diltiazam for now.

[Gowers in reply to Figbar]

I didn't do well on beta blockers so was put on Diltiazem 300mg slow release capsule (think its the highest dose one is able to take) made big difference for flutter

[Figbar in reply to Gowers]

Thank you. This is good to know. I just started Diltiazam 180mg ER.

[Gowers in reply to Figbar]

I started on low dose b4 it was increased

[KMRobbo]

Not sure about the flecainide - it was the CAUSE of my re entrant atrial flutter, post my succesful AFib cryoablation! Are you breathless? I was upon any physical effort, like walking to the kitchen to get a drink!

My local hospital increased my flecainide to counter what they initially misdiagnosed as the return of AFib and the symptoms got worse!My EP reversed the flec changes, then I was stuck at a diltiazem rate controlled 140 bpm for a month until a second ablation was arranged to stop it.

Did you get an ECG to confirm what you have is flutter and if it is right atria? I understand AFlutter can be ( rarely) left atria also.

Not medically trained, just my personal experience.

[Figbar in reply to KMRobbo]

Thank you.I started in SVT, then AFIB, then NSR

[Poochmom in reply to KMRobbo]

I also just learned that if you have Flutter should NOT take flecanaide. I couldn’t take it regularly even with AF because it CAUSED other arrhythmias. I took it only when I had an AF attack and it worked like a charm.

[Figbar in reply to Poochmom]

Thank you.Requested to be placed on cancellation list for WWM- scheduled January 4

[Poochmom in reply to Figbar]

I thought you were involved with the WMM but couldn’t remember for sure. Glad you are on the cancellation list. It will happen before you know it and you will be so happy! Keep us informed. Are you on the WMM Facebook page and if so what is your name?

[Figbar in reply to Poochmom]

Yes.Evangeline Clemens

[Poochmom in reply to Figbar]

She! Ok. 😄

[Poochmom in reply to Poochmom]

That was suppose to be Ah! Ok

[Gowers in reply to Poochmom]

Same here

[ETHEL103]

Yes sounds like flutter.I had the same thing for 2 years on and off mixed with lots of ectopics which fooled me into thinking it was a fib.Kardia read a fib most of the time I have since learned it doest show flutter.Ablation in May sorted it .

[Figbar in reply to ETHEL103]

This was the first time my Kardia read “ unclassified”

[wendy6]

My Atrial Flutter started whilst I was on Flecainide 7 years ago I assumed it was my AF getting worse, I had Paroxysmal AF. So thought was getting increased AF episodes. The flutters became more frequent, until one day after having it for 9 hours. went into A&E ,HR was 150 -180bpm, they did chemical cardioversion. Told me off for not coming in sooner (I thought it was AF which is why I didn't) In retrospect realised I had been getting flutter episodes for many months thinking it was increased AF as it was mixed with Ectopics. Was on waiting list for Ablation anyway so when I had this they said it would definitely fix the flutter and it did as well as AF. Don't think the Flecainide caused the Flutter but it certainly didn't help it.

[Figbar in reply to wendy6]

Thank you,I’m glad you got it sorted out.

[Ppiman]

WhenI had this, I was told that AFl gives not only a regular pulse but also a rate that is a fixed ratio of the atrial rate, which is usually 300, or thereabouts. On that basis, 125bpm sounds like tachycardia rather than AFl. To determine if flutter is present a 12-lead ECG is taken.

Steve

[Figbar in reply to Ppiman]

My rate was at 214, with Kardia reading of “ classified”. I began with SVT , then AFIB, then NSRFeeling kind of beat today but happy for nearby hospital and their IV meds

[Palpman]

I had AV Node Reentry AFlutter at 125 bpm for years.If you have not seen an ecg then it could well be Inappropriate Sinus Tachycardia and not AFlutter.

Atrial rates are typically above 250 bpm and up to 320 bpm.

Ventricular rates are typically 120 to160 bpm.

[Figbar in reply to Palpman]

Thank you 😊

[BlueINR]

It may be a regular beat, and it's too fast. Last time I went to see my cardiologist and heartrate was over 100, he listened to my heart for barely 2 seconds, and said, "Her heart rate is too high she needs to go the the ER right away."

[Figbar]

Hmm,My AFIB episodes are always 100; but this 214 was a first!

[Figbar in reply to Figbar]

That should read OVER 100…

[Poochmom in reply to Figbar]

Yeah mine were always 140-160. But always irregular.

[Figbar in reply to Poochmom]

Yup. Same here