Atrial Flutter Treatment - Frequently Asked Questions

The Atria are Like "Fuel Injectors" for the Ventricles

Consultant Cardiologist and Atrial Flutter Specialist, Dr Oliver Segal describes how Atrial flutter is an abnormal electrical short circuit that results in a rapid or irregular heartbeat and where it can occurr i.e. in either the left or right atrium of the heart, The atria pump blood to the larger ventricles below - to use a motoring analogy, they are bit a like fuel injectors or carburetors.

Diagram of the heart

The Two Types of Atrial Flutter

Typical Atrial Flutter

The most common type of atrial flutter occurs in the right atrium and is known as typical atrial flutter. It is common from age 40 onwards. Mr Segal says, "This is the same heart rhythm disorder that Tony Blair suffered from in 2004, and he went on to have a curative procedure called ablation."

Clockwise Right Atrial Flutter

The electricity can sometimes rotate in an anti-clockwise direction (known as typical flutter), or a clockwise direction (known as clockwise right atrial flutter). The direction of electricity can be identified and diagnosed on a standard ECG.

Increased Heart Rate causing Palpitations

This means that the atria beat about 300 times per minute – about 4 to 5 times faster than normal. Fortunately, most of the time not all of these signals conduct to the ventricles below, but the heart rate still increases to 150 per minute in healthy hearts. This can cause palpitations, breathlessness, dizziness or even collapse.

Ablation treatment aims to restore a normal heart rhythm, improving heart function and reducing the risk of stroke.

Atrial Flutter Ablation Treatment FAQs

Mr Segal provides expert answers to the following questions:

Who can have Ablation for Atrial Flutter?

What are the Pros and Cons of Atrial Flutter Ablation?

Is Atrial Flutter Ablation New?

Is Pain Relief given if General Anaesthetic is not used?

Is Surgery Required?

Can Ablation be Repeated if unsuccessful the First Time?

Will I need to take Blood Thinning medication after Ablation?

How soon can I do Physical Exercise after Ablation?

The two upper chambers of the heart. Full medical glossary
An abnormally fast but regular heart rhythm due to disturbances in the biological electrical system of the atria of the heart. It is a type of supraventricular tachycardia Full medical glossary
One of the two upper chambers of the heart. Full medical glossary
A fluid that transports oxygen and other substances through the body, made up of blood cells suspended in a liquid. Full medical glossary
The abbreviation for electrocardiogram, a tracing of the electrical activity of the heart to help in the diagnosis of heart disease. Full medical glossary
A viral infection affecting the respiratory system. Full medical glossary
A large abdominal organ that has many important roles including the production of bile and clotting factors, detoxification, and the metabolism of proteins, carbohydrates and fats. Full medical glossary
Relating to the part of the nervous system that carries information from the brain and spinal cord to cause activity in a muscle or gland. Full medical glossary
The feeling when you become aware of your heartbeat - when frightened, for example. Full medical glossary
A craving to eat non-food substances such as earth or coal. Full medical glossary
Any sudden neurological problem caused by a bleed or a clot in a blood vessel. Full medical glossary
Either of the two lower chambers of the heart, or any of the four cavities within the brain. Full medical glossary