2020 Ablation Atrial Flutter 
Dr. Smith's ECG Blog
SEPTEMBER 18, 2024
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. Reverted to atrial fibrillation with RVR while in the hospital 3 times and needed cardioversion.
Journal of the American Heart Association
MARCH 3, 2025
PubMed was queried for entries on AF and rurality: (atrial fibrillation OR atrial flutter) AND (rural OR urban OR rurality OR metro OR metropolitan) AND (united states OR US OR U.S.) These studies ranged from 1993 to 2020 and analyzed approximately 41.7 published up to September 24, 2023. million AF patient encounters.
Dr. Smith's ECG Blog
JANUARY 9, 2024
The ECG was interpreted as showing atrial flutter with 2:1 conduction. The heart rate could be compatible with that of a 2:1 conducted atrial flutter. Also, lead I could give the initial impression of showing flutter waves. After atrial rhythm/SR was restored the patient slowly improved.
Ken Grauer, MD
MARCH 12, 2023
PEARL # 3: Atrial Flutter with 1:1 AV conduction is rare! Since the rate of atrial activity with flutter in adults is most often very close to 300 /minute ( ie, usual range for atrial activity ~250-350/minute ) — AFlutter with 2:1 AV conduction typically results in a regular ventricular rate of ~140-160/minute.
Dr. Smith's ECG Blog
OCTOBER 25, 2022
The differential of a regular narrow QRS tachycardia is sinus tachycardia, SVT, and atrial flutter with regular conduction. There are no P waves preceding the QRS complexes, and no clear flutter waves. There is no need to immediately refer today’s patient to EP for ablation.
Dr. Smith's ECG Blog
SEPTEMBER 7, 2020
The Differential Diagnosis is: SVT with aberrancy(#) [AVNRT vs. WPW (also called AVRT*)] Atrial flutter with 1:1 conduction, with aberrancy VT coming from the anterior fascicle ( fascicular VT )@ *AVRT = AV Reciprocating Tachycardia (Tachycardic loop that uses both the AV node and an accessory pathway.
Journal of Cardiovascular Electrophysiology
MARCH 24, 2025
ABSTRACT Background Different ablation strategies have been developed for persistent atrial fibrillation (PeAF), but early management is still controversial. Methods and Results Between January 2020 and December 2023, 118 PeAF patients were selected for first intent Marshall plan ablation (MPA).
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