What happens when you give adenosine to a patient with this rhythm?
Dr. Smith's ECG Blog
AUGUST 23, 2017
It is atrial flutter with 2:1 conduction. There are clear flutter waves in lead II across the bottom. In V1, there are upright waves that appear to be P-waves but are not: they are atrial waves and it is typical for atrial flutter waves to be upright in V1, whereas sinus P-waves are biphasic in V1.
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