A Case of Atrial Flutter diagnosed at the Family Health Center
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
- Bun S, Latcu DG, Marchli̇nski̇ F, Saoudi̇ N. Atrial flutter: more than just one of a kind. European Heart Journal 2015;35(36):2356–63.
Cosío FG. Atrial flutter, typical and atypical: A review. Arrhythm Electrophysiol Rev 2017;6(2):55-62.
Kacprzyk M, Kuniewicz M, Lelakowski J. Trzepotanie przedsionków w praktyce kardiologa. Pol Merkur Lekarski 2020; 48(285):204-8.
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.
Cosío FG, Pastor A, Núñez A. Atrial flutter: An update. Revi̇sta Española De Cardi̇ología (Engli̇sh Edi̇ti̇on) 2006;59(8):816-31.
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.
Halligan SC, Gersh BJ, Brown RD Jr, Rosales AG, Munger TM, Shen WK, et al. The natural history of lone atrial flutter. Ann Intern Med 2004;140(4):265-8.