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Vol.15 Issue.1 · January-March 2024
Page: 38-43 Case Report 759x viewed
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A Case of Atrial Flutter diagnosed at the Family Health Center

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Published Online: 31 March 2024 · Accepted: 12 February 2024 · Received: 19 October 2023
Doi: 10.15511/tjtfp.24.00138
Cite Code: The Journal of Turkish Family Physician 2024;15(1):38-43
Authors: Ayşenur Uslu 1 · Ayşenur Derici 1 · Zeynep Beloğlu 1 · Edanur Aslan Savcı 1 · Erkut Etçioğlu 2
1 Sakarya University Faculty of Medicine, Department of Family Medicine, Assistant. Dr., Sakarya
2 Sakarya Training and Research Hospital Family Medicine Clinic, M.D., Sakarya

Cide Code: Ayşenur Uslu A. ve Ark. Aile Sağlığı Merkezi’nde tanı konan Atriyal Flatter olgusu.  Jour Turk Fam Phy 2024; 15 (1): 38-43. Doi: 10.15511/tjtfp.24.00138.

Ethical Approval: Written informed consent was obtained from the patient for the publication of this case report and the accompanying tests (19.10.2023). No conflict of interest has been reported.

This article is published online with Open Access and distributed under the terms of the Creative Commons Attribution Non-Commercial License 4.0 (CC BY-NC 4.0).


Keywords: atrial flutter · chronic disease · disease management · family practice · primary health care
PDF - A Case of Atrial Flutter diagnosed at the Family Health Center
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Abstract
References

Atrial flutter (AFL) is the most common supraventricular arrhythmia that develops as a result of various metabolic and cardiopulmonary disorders, following atrial fibrillation. Risk factors for developing AFL include many chronic diseases such as hypertension. The diagnosis of AFL is made by electrocardiography (ECG) taken during the monitoring of chronic diseases, sometimes due to clinical symptoms and sometimes without causing symptoms. Patients with this arrhythmia are at a high risk of thromboembolic events. Timely diagnosis and initiation of treatment in these patients are of paramount importance.

Family practice provides services for early diagnosis, treatment, follow-up and rehabilitation of patients in primary care. In this case report, it is aimed to discuss the process of diagnosing AFL in a patient who was called to the family health center for chronic disease follow-up within the scope of the Disease Management Platform (HYP) application and who did not have any complaints, and to emphasize the importance of primary health care services in chronic disease follow-up.

References

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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 tachycardia the 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). European heart journal. 2020;41(5), 655-720.

Parcha V, Patel N, Kalra R, Kim J, Gutiérrez OM, Arora G, et al. Incidence and implications of atrial fibrillation/flutter in hypertension: Insights from the SPRINT trial. Hypertension 2020;75(6):1483-90.

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World Organization of Family Doctors (WONCA): The European definition of GP / FM; 2023 edition. 08.08.2023 tarihinde https://www.woncaeurope.org/page/definition-of-general-practice-family-medicine adresinden erişilmiştir.

T.C. Sağlık Bakanlığı, Sağlık Bilgi Sistemleri Genel Müdürlüğü: Hastalık yöneti̇mi̇ platformu projesi̇ kullanım kılavuzu 2020. 08.08.2023 tarihinde https://dosyaism.saglik.gov.tr/Eklenti/123740/0/hastalik-yonetimi-plekpdf.pdf adresinden erişilmiştir.

Cairns JA, Connolly S, McMurtry S, Stephenson M, Talajic M. CCS Atrial Fibrillation Guidelines Committee. Canadian Cardiovascular Society atrial fibrillation guidelines 2010: Prevention of stroke and systemic thromboembolism in atrial fibrillation and flutter. Can J Cardiol 2011;27(1):74-90.

Türkiye Endokrinoloji ve Metabolizma Derneği. Hi̇pertansi̇yon Tanı Ve Tedavi̇ Kılavuzu 2022. 08.08.2023 tarihinde https://file.temd.org.tr/Uploads/publications/guides/documents/Hipertansiyon-Kilavuzu-2022.pdf adresinden erişilmiştir.

T.C. Sağlık Bakanlığı. Birinci Basamağa Yönelik Tanı ve Tedavi Rehberleri̇ 2012. 08.08.2023 tarihinde  http://www.medixahbs.com/documan/tanivetedavirehberi2012taslak.pdf adresinden erişilmiştir.

Verdecchia P, Angeli F, Reboldi G. Hypertension and atrial fibrillation: Doubts and certainties from basic and clinical studies. Circ Res 2018;122:352–68.

Benjamin EJ, Levy D, Vaziri SM, D’Agostino RB, Belanger AJ, Wolf PA. Independent risk factors for atrial fibrillation in a population-based cohort: The Framingham heart study. JAMA 1994; 271: 840–4.

Okin PM, Hille DA, Larstorp AC, Wachtell K, Kjeldsen SE, Dahlöf B, et al. Effect of lower on-treatment systolic blood pressure on the risk of atrial fibrillation in hypertensive patients. Hypertension 2015;66(2):368-73.

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The Journal of Turkish Family Physician (e-ISSN 2148-550X) is a peer-reviewed national periodical journal published four times a year, quarterly on-line only. The journal can include all scientific, evidence-based articles in both Turkish and English, such as research articles, case reports, reviews, letters to the editor, national and international scientific documents and translations, which are related to general medicine and family medicine and primary health care services.

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