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This strip was obtained: Apparent Wide Complex Tachycardia at a rate of 280 What do you think? 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.
Clinically: Initial treatment of AFlutter is the same, regardless of whether the rotation direction is CW or CCW — so this distinction is not important to the emergency provider ( Cosio — Arrhythmia & EP Review 6(2):55-62, 2017 ). And a Final Tracing. Reviews PEARLS regarding the ECG diagnosis of AFlutter — and — What's "New"?
In all probability, this dilation is a form of atrialtachycardia and atrial cardiomyopathy. However, underlying lesions such as hypertension, mitral valve disease, COPD, ASD, and TR greatly influence the degree of atrial enlargement. We know atrialflutters can be confined to one atrium.
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. Most physicians will automatically be worried about these symptoms. Thiruganasambandamoorthy, V., Sivilotti, M., Mukarram, M., Baumann, B.
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