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Because the patient was exercising, which increases sympathetic tone, facilitating AV conduction. Why did today's patient develop AFlutter while exercising on a treadmill? Is longterm endurance-training a risk factor for AFib and AFlutter? == Why is Today's Initial Rhythm AFlutter? Why such rapid AV conduction?
. = My Comment by K EN G RAUER, MD ( 3/15 /2023 ): = I found today’s case highly instructive in highlighting a number of important aspects regarding the presentation and initial treatment of a patient who presents to the ED with new AFib. I focus my comment on a few additional aspects regarding new AFib.
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