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To me, it was clearly atrialflutter with 1:1 conduction. The rate of 280 is just right for atrialflutter. The waves look like atrialflutter waves, NOT like a wide ventricular complex. Reverted to atrial fibrillation with RVR while in the hospital 3 times and needed cardioversion.
American Heart Journal 170(6):1255-1264; December 2015. LAFB, atrialflutter, anterolateral STEMI(+) OMI. Validation of the Modified Sgarbossa Rule for Diagnosis of STEMI in the Presence of Left Bundle Branch Block. Derivation in LBBB: --> Smith SW. South African flag pattern, plus precordial swirl pattern.
Annals of Emergency Medicine March 2015 ; Volume 65, Issue 3, Pages 268–276.e6 Observations from the present study provide benchmark data for improving patient care and effectively utilizing healthcare resources. 18) Venkatesh Thiruganasambandamoorthy et al. Outcomes in Presyncope Patients: A Prospective Cohort Study.
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