Can atrial flutter be caused by hyperferritinemia (high iron levels)?

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Last updated: April 16, 2025View editorial policy

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From the Guidelines

Atrial flutter is not directly caused by high iron levels, but iron overload can lead to cardiomyopathy and increase the risk of arrhythmias, including atrial fibrillation, which may be associated with atrial flutter. Atrial flutter is a type of abnormal heart rhythm characterized by rapid, regular electrical activity in the atria, typically at a rate of 250-350 beats per minute. The primary causes of atrial flutter include heart disease, high blood pressure, previous heart attacks, heart valve abnormalities, lung disease, excessive alcohol or stimulant use, and thyroid dysfunction. According to a study published in the Journal of the American College of Cardiology 1, iron overload cardiomyopathy can cause various cardiac complications, including heart failure, and iron deposition in the atrial myocardium can lead to supraventricular arrhythmias, such as atrial fibrillation. While there is no established direct causal relationship between high iron levels and atrial flutter specifically, iron overload can contribute to the development of cardiomyopathy and increase the risk of arrhythmias. Key factors to consider in the development of arrhythmias in iron overload include:

  • Iron deposition in the ventricular myocardium and conduction system
  • Nonhomogeneity in conduction velocity or repolarization
  • Increased incidence of atrial and ventricular tachyarrhythmias
  • Association between iron deposition and myocardial damage. Treatment for atrial flutter typically involves medications to control heart rate and rhythm, blood thinners to prevent clots, and in some cases, procedures like cardioversion or catheter ablation to restore normal heart rhythm. If you have concerns about atrial flutter or iron levels, it's essential to consult with a healthcare provider for proper evaluation and management.

From the Research

Atrial Flutter and High Iron Levels

  • Atrial flutter is a type of arrhythmia characterized by an abnormal heart rhythm, but the provided studies do not directly link high iron levels to atrial flutter.
  • However, iron overload has been associated with various cardiac complications, including arrhythmias, in patients with hereditary hemochromatosis 2, 3, 4.
  • The studies focus on the treatment of iron overload in patients with hereditary hemochromatosis, using methods such as phlebotomy and erythrocytapheresis, and their effects on iron parameters 4, 5.
  • One study discusses the prognostic implications of iron deficiency in patients with atrial fibrillation, which is related to atrial flutter, and finds that iron deficiency is associated with increased mortality and hospitalization rates 6.
  • There is no direct evidence in the provided studies to support the claim that high iron levels can cause atrial flutter, but iron overload and deficiency have been linked to various cardiac complications.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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