![Atrial Flutter: ECG Interpretation [With Examples] - Manual of Medicine](https://manualofmedicine.com/wp-content/uploads/2022/01/Atrial-Flutter-with-4-1-AV-Block.png)
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+and+atrial+flutter.+(BB%2C+%CE%B2-blocker%3B+CCB%2C+calcium+channel+blocker+[i.e.%2C+verapamil+or+diltiazem]%3B+DCC%2C+direct-current+cardioversion.)+aIf+AF+%3C48+hours%2C+anticoagulation+prior+to+cardioversion+is+unnecessary%3B+may+consider+transesophageal+echocardiogram+(TEE)+if+patient+has+risk+factors+for+stroke.+bAblation+may+be+considered+for+patients+who+fail+or+do+not+tolerate+one+or+more+antiarrhythmic+drugs+(AADs).+cChronic+antithrombotic+therapy+should+be+considered+in+all+patients+with+AF+and+risk+factors+for+stroke+regardless+of+whether+or+not+they+remain+in+sinus+rhythm.+Reprinted+with+permission+from+Wells+BG%2C+DiPiro+JT%2C+Schwinghammer+TL%2C+et+al.+Pharmacotherapy+Handbook.+8th+ed.+New+York:+McGraw-Hill%2C+2012..jpg)
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