Brief Answer:
Please, let him see a cardiologist!
Detailed Answer:
Hi and thank you so much for this query. I am so sorry to hear about the XXXXXXX strokes that your friend has had.
Considering the information you have provided, your friend would need a complete evaluation by a cardiologist. This would look at the different possible predisposing factors for stroke which include heart abnormality, lipid disorders, clotting disorders, etc. He already has a heart rhythm problem which could explain why he is having these XXXXXXX strokes. This may warrant blood thinners like warfarin to prevent minor clots from being formed in the heart that would eventually cause stroke/mini strokes in the brain.
In all, the flutter is probably causing small clots in the heart that are responsible for these XXXXXXX strokes He would need blood thinner medications and a full evaluation for other risk factors by a cardiologist. Management would then be managed according to any other identified abnormalities.
I hope this helps. I wish you well. Thank you so much for using our services and please do feel free to ask for more clarifications and information if need be.