Atrial Flutter
Atrial flutter occurs when the different chambers in your heart beat out of rhythm with one another, causing discomfort and pain.
What is atrial flutter?
Atrial flutter (AF) is a type of abnormal heart rhythm (arrhythmia) that causes the upper chambers of your heart (atria) to beat too quickly, and in an abnormal rhythm. One can also have atrial flutter with a normal heart rate. It is a type of supraventricular tachycardia (SVT).
Atrial flutter is a type of atrial tachycardia. Typical atrial flutter arises from the right atrium. Some may feel symptoms, and others are asymptomatic.
If left untreated, AF can lead to a number of health problems, including stroke, heart failure and fatigue, so it is important to seek medical treatment for the condition.
More information
Symptoms of atrial fibrillation can vary from person to person – some people will experience no symptoms, while others may experience any or all of the following:
a pounding or fluttering heart (palpitations)
fatigue
fainting
lightheadedness
Atrial flutter is caused by an abnormality in the electrical circuit in the atria (the upper chambers of the heart), which causes abnormally frequent contractions.
These contractions also cause the lower chambers of the heart (ventricles) to contract quickly, but not as fast as the atria. This mismatch of beats is what causes the heart to ‘flutter’.
The abnormality in the electrical circuit can be associated with:
heart valve disorders
a congenital (present at birth) heart condition
coronary artery disease
heart surgery
obesity
alcohol
lung disease
A Welbeck cardiologist will be able to make a diagnosis of atrial flutter by asking you about your symptoms and medical history, and performing a test called an electrocardiogram (ECG), which records the electrical activity in your heart.
They may want to perform additional tests, including an echocardiogram, blood tests, and associated appropriate tests to confirm a diagnosis and help identify the cause of the condition.
Medications to slow down the heart rate are often the first line of treatment for atrial flutter.
If medications are not effective, your consultant cardiologist may perform a procedure called a catheter ablation or atrial fibrillation ablation to destroy any tissue that is creating abnormal electrical signals in order to terminate the electrical circuit.
Your cardiologist may wish to perform another procedure called a cardioversion. This procedure uses a small, controlled shock to the chest to provide short-term correction of the heart rhythm. However, the reason behind this would be discussed, and this is not a definitive treatment.
At Welbeck, our cardiologists are experts in their field and are dedicated to providing world-class care to every patient.
With access to colleagues across other specialties, our consultants are also able to refer within the Welbeck ecosystem if required to ensure you receive the treatment you need as quickly as possible, all under one roof.
All appointments, testing, treatment, and follow-up appointments take place within our state-of-the-art facilities, enabling us to deliver accurate diagnostics and advanced treatments.
Your health is important to us, so we strive to offer same-day appointments whenever possible.
Our consultants are recognised by the major health insurance companies. If you have private health insurance, your treatment at Welbeck can begin once you have obtained authorisation. We also provide care to self-paying patients. Learn more about the different payment options at Welbeck.
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Atrial flutter can’t always be prevented, but you can lower your risk of developing it by adopting a heart-healthy lifestyle. Making changes that support overall cardiovascular health may also reduce the triggers that contribute to abnormal heart rhythms.
You may lower your risk by:
eating a balanced diet rich in fruit, vegetables, whole grains and lean proteins
exercising regularly — aim for at least 150 minutes of moderate activity per week unless advised otherwise by your doctor
maintaining a healthy weight, which reduces strain on the heart
not smoking and avoiding exposure to tobacco smoke
limiting alcohol and caffeine, and avoiding stimulants that can affect heart rhythm
managing other health conditions such as high blood pressure, high cholesterol, sleep apnoea, and diabetes with help from your GP and/or cardiologist
These steps not only help reduce the likelihood of atrial flutter but also improve overall heart health.
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Frequently asked questions
Atrial flutter and atrial fibrillation are both types of abnormal heart rhythms (arrhythmias) that originate in the upper chambers of the heart. In atrial flutter, the electrical signals follow a more organised but rapid loop, creating a very fast and regular heartbeat. In atrial fibrillation, the electrical activity is chaotic, leading to an irregular and often faster heart rate. Treatment approaches overlap, but the rhythm patterns and how they respond to certain therapies can differ. You can read more about the differences in our dedicated article: What is the Difference Between Atrial Fibrillation & Atrial Flutter?
Symptoms can vary from person to person. Some people may have no noticeable symptoms, while others experience:
a fluttering or racing heartbeat
palpitations
tiredness or reduced exercise tolerance
shortness of breath
light-headedness or dizziness
chest discomfort
If you notice these symptoms, especially suddenly or repeatedly, see a healthcare professional for assessment.
In many cases, atrial flutter can be effectively treated and even cured or controlled long-term. Treatments include medications to control the heart rate or rhythm and procedures such as cardioversion or catheter ablation to restore and maintain normal rhythm. The right approach depends on your symptoms, overall health, and the underlying causes. Regular follow-up with your cardiologist helps ensure the best outcome.
Atrial flutter is not usually a medical emergency, but it should always be assessed by a healthcare professional. If the heart rate becomes very fast or symptoms are severe, it can cause dizziness, chest pain, breathlessness or fainting. In rare cases, it may lead to serious complications such as stroke or heart failure.
You should seek urgent medical attention if you experience chest pain, sudden shortness of breath, weakness on one side of the body, difficulty speaking, or fainting. Early diagnosis and treatment significantly reduce the risk of complications.