Remove 2015 Remove Atrial Flutter Remove Tachycardia
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Syncope while on a treadmill

Dr. Smith's ECG Blog

This strip was obtained: Apparent Wide Complex Tachycardia at a rate of 280 What do you think? To me, it was clearly atrial flutter with 1:1 conduction. The rate of 280 is just right for atrial flutter. The waves look like atrial flutter waves, NOT like a wide ventricular complex.

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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

If the patient has Abnormal Vital Signs (fever, hypotension, tachycardia, or tachypnea, or hypoxemia), then these are the primary issue to address, as there is ongoing pathology which must be identified. Annals of Emergency Medicine March 2015 ; Volume 65, Issue 3, Pages 268–276.e6 18) Venkatesh Thiruganasambandamoorthy et al.