Atrial Flutter: Prevention

To prevent atrial flutter, attention must be paid to reducing individual risk factors.

Behavioral risk factors

  • Diet
    • Opulent meal (sumptuous food)
    • Micronutrient deficiency (vital substances) – see Prevention with micronutrients.
  • Consumption of stimulants
    • Alcohol (woman: > 15 g/day; man: > 20 g/day).
  • Overweight (BMI ≥ 25; obesity).

Medication

  • Flecainide and propafenone (sodium channel blockers)-may induce 1:1 AV conduction and widen the QRS interval in patients with atrial flutter; when using these medications in patients with atrial flutter, an AV nodal-blocking medication should also be prescribed.