Chronic Atrial Flutter: What Is the Risk of Thromboembolism?

  • N. Baldi
  • V. A. Russo
  • V. Morrone
  • L. Liconso
  • G. Polimeni
Conference paper


In a review about atrial flutter, published in 1992, in the section concerning anticoagulant therapy, Olshansky et al. [1] concluded as follows: “A consensus has not yet been reached about the need for anticoagulation in patients with atrial flutter. It is not possible to make a rational judgement about the need for anticoagulation for patients with atrial flutter based on present data”.


Atrial Fibrillation Sinus Rhythm Atrial Flutter Embolic Event Thromboembolic Risk 
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  1. 1.
    Olshansky B, Wilber DJ, Hariman RJ (1992) Atrial flutter. Update on the mechanism and treatment. PACE 15:2308–2335Google Scholar
  2. 2.
    Pagadala P, Gummadi SS, Olshansky B (1994) Thromboembolic risk of chronic atrial flutter: is the risk underestimated? Circulation 90[Suppl]:I-398 (abstr)Google Scholar
  3. 3.
    Lanzarotti C, Olshansky B (1997) Thromboembolic risk of chronic atrial flutter: is the risk underestimated? J Am Coll Cardiol 30:1506–1511PubMedCrossRefGoogle Scholar
  4. 4.
    Wood KA, Eisemberg SJ, Kaiman JM, Drew BJ, Saxon LA, Lee RJ, Lesh MD, Scheinman MM (1997) Risk of thromboembolism in chronic atrial flutter. Am J Cardiol 79:1043–1047PubMedCrossRefGoogle Scholar
  5. 5.
    Seidl K, Hauer B, Schwick NG, Zellner D, Zahn R, Senges J (1998) Risk of thromboembolism events in patients with atrial flutter. Am J Cardiol 82:580–583PubMedCrossRefGoogle Scholar
  6. 6.
    Demsen CG (1999) Patients undergoing cardioversion of atrial flutter should be routinely anticoagulated. Am J Cardiol 83:140–141Google Scholar
  7. 7.
    Arnold AZ, Mick MJ, Mazurek RP, Loop FD, Trohman RG (1992) Role of prophylactic anticoagulation for direct current cardioversion in patients with atrial fibrillation or flutter. J Am Coll Cardiol 19:851–855PubMedCrossRefGoogle Scholar
  8. 8.
    Black IW, Hopkins AP, Lee LC, Walsh WF (1993) Evaluation of transesophageal echocardiography before cardioversion of atrial fibrillation and flutter in non-anticoagu-lated patients. Am Heart J 126:375–381PubMedCrossRefGoogle Scholar
  9. 9.
    Moreyra E, Finkelhor RS, Cebul RD (1995) Limitations of transesophageal echocardiography in the risk assessment of patients before non-anticoagulated cardioversion from atrial fibrillation and flutter: an analysis of pooled results. Am Heart J 129:71–75PubMedCrossRefGoogle Scholar
  10. 10.
    Metha D, Baruch L (1996) Thromboembolism following cardioversion of “common” atrial flutter. Risk factors and limitations of transesophageal echocardiography. Chest 110:1001–1003CrossRefGoogle Scholar
  11. 11.
    Klein AL, Grimm RA, Black IW, Leung DY, Chung MK, Vaughn SE, Murray D, Miller DP, Arheart KL, for the ACUTE Investigators (1997) Cardioversion guided by transesophageal echocardiography: the ACUTE pilot study: a randomized, controlled trial. Ann Intern Med 126:200–209PubMedGoogle Scholar
  12. 12.
    Murdock CJ, Kyles AF, Yeung-Lai-Wah JA, Anzehn Q, Vorderbrugge S, Kerr GR (1990) Atrial flutter in patients treated for atrial fibrillation with propafenone. Am J Cardiol 66:755–757PubMedCrossRefGoogle Scholar
  13. 13.
    Tunick PA, Mc Elhinney L, Mitchell T, Kronzon I (1992) The alternation between atrial flutter and atrial fibrillation. Chest 101:34–36PubMedCrossRefGoogle Scholar
  14. 14.
    Biblo LA, Chong Y, Kaufman ES, Lewis WR, Mackall JA, Rimm AA (1998) “Lone” atrial flutter, insights to embolic risk. PACE 21:515 (abstr)Google Scholar
  15. 15.
    Oreto G, Luzza F, Satullo G, Donato A (1997) I disordini del ritmo cardiaco. Centro Scientifico, Torino, pp 42–53Google Scholar
  16. 16.
    Dunn MI (1998) Thromboembolism with atrial flutter. Am J Cardiol 82:638PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2000

Authors and Affiliations

  • N. Baldi
    • 1
  • V. A. Russo
    • 1
  • V. Morrone
    • 1
  • L. Liconso
    • 1
  • G. Polimeni
    • 1
  1. 1.Unità Operativa di CardiologiaAzienda Ospedale S.S. AnnunziataTarantoItaly

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