What is the likely outcome of true ventricular flutter?

What is the likely outcome of true ventricular flutter?

• A. Atrial tachycardia
• B. Ventricular fibrillation
• C. Normal sinus rhythm
• D. Bradycardia

Answer: (B)

True ventricular flutter, often referred to as ventricular flutter, is characterized by a rapid and organized electrical activity originating from the ventricles. This condition represents a very high-risk arrhythmia, potentially leading to serious complications if not treated promptly.

Ventricular flutter can progress to ventricular fibrillation, which is a chaotic and disorganized electrical activity in the ventricles that results in the heart's inability to pump blood effectively. This progression occurs because ventricular flutter itself can destabilize the electrical activity in the heart, leading to ineffective contractions and can quickly deteriorate into a life-threatening situation.

In contrast, the other outcomes, such as atrial tachycardia, normal sinus rhythm, and bradycardia, are not typical direct consequences of ventricular flutter. Atrial tachycardia involves rapid atrial impulses and does not originate from the ventricular region, while normal sinus rhythm is a stable electrical pattern that does not develop from flutter conditions. Bradycardia, characterized by a slow heart rate, also does not align with the rapid nature of ventricular flutter.

Recognizing the potential progression from true ventricular flutter to ventricular fibrillation is crucial for treatment decisions and understanding the serious risks associated with this arrhythmia.