Prognosis Atrial Flutter

Oleh :

dr. Mia Amelia Mutiara Salikim

Dari segi prognosis, atrial flutter yang tidak diterapi dapat menyebabkan berbagai komplikasi fatal, termasuk kejadian tromboemboli dan syok kardiogenik, hingga kematian.[2,17,18]

Komplikasi

Komplikasi paling sering dari atrial flutter adalah stroke iskemik. Terapi yang tidak adekuat dapat menyebabkan perubahan struktural pada jantung sehingga menyebabkan gagal jantung serta kardiomiopati akibat takikardia.

Referensi

2. Brugada J, Katritsis DG, Arbelo E, Arribas F, Bax JJ, Blomström-Lundqvist C, et al. 2019 ESC Guidelines for the management of patients with supraventricular tachycardiaThe Task Force for the management of patients with supraventricular tachycardia of the European Society of Cardiology (ESC): Developed in collaboration with the Association for European Paediatric and Congenital Cardiology (AEPC). Eur. Heart J. 2020;41:655–720.
3. Rosenthal L. Atrial Flutter: Practice Essentials, Background, Pathophysiology. Medscape, 2022; https://emedicine.medscape.com/article/151210-overview
4. Diamant MJ, Andrade JG, Virani SA, Jhund PS, Petrie MC, Hawkins NM. Heart failure and atrial flutter: a systematic review of current knowledge and practices. ESC Heart Fail. 2021;8:4484–96.
7. Jastrzębski M, Stec J, Fijorek K, Pavlinec C, Czarnecka D. CHADS2 and CHA2DS2-VASc scores as tools for long-term mortality prognosis in patients with typical atrial flutter after catheter ablation. Kardiologia Pol. Pol. Heart J. 2020;78:59–64.
8. Yugo D, Chen YY, Lin YJ, Chien KL, Chang SL, Lo LW, et al. Long-term mortality and cardiovascular outcomes in patients with atrial flutter after catheter ablation. EP Eur. 2022;24:970–8.
17. Thyagaturu HS, Bolton A, Thangjui S, Shah K, Shrestha B, Voruganti D, et al. Differences in Stroke or Systemic Thromboembolism Readmission Risk After Hospitalization for Atrial Fibrillation and Atrial Flutter. Cureus 2022;14:e23844.
18. McDonagh TA, Metra M, Adamo M, Gardner RS, Baumbach A, Böhm M, et al. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: Developed by the Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) With the special contribution of the Heart Failure Association (HFA) of the ESC. Eur. Heart J. 2021;42:3599–726.
19. Alshehri AM. Stroke in atrial fibrillation: Review of risk stratification and preventive therapy. J Family Community Med. 2019 May-Aug;26(2):92-97. doi: 10.4103/jfcm.JFCM_99_18. PMID: 31143079; PMCID: PMC6515763.

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Prognosis Atrial Flutter

Referensi

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