2020 Arrhythmia Atrial Flutter 
Dr. Smith's ECG Blog
JULY 5, 2024
A fully upright P-wave is typical atrial activity of atrial flutter as seen in V1. See these example cases of upright P-waves: Case Continued Thus, I was all but certain that this was atrial flutter. PEARL #1: The most commonly overlooked arrhythmia is AFlutter ( A trial F lutter ).
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.
Dr. Smith's ECG Blog
MAY 1, 2023
This narrows our differential for the rhythm down to sinus tachycardia, paroxysmal supraventricular tachycardia (PSVT, or SVT), and atrial flutter. The patient’s history is notable for paroxysmal atrial fibrillation, which raises clinical suspicion for atrial flutter, since these two entities frequently coexist on a spectrum.
Journal of the American Heart Association
MARCH 3, 2025
Atrial fibrillation (AF) is the most common sustained arrhythmia and associated with increased morbidity and mortality. 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.)
Ken Grauer, MD
DECEMBER 23, 2023
Since the most common ventricular response to untreated AFlutter is with 2:1 AV conduction — this results in a ventricular rate HALF as fast as the flutter rate in the atria — and 300 ÷ 2 ~150/minute ( usual range ~130-170/minute ). ECG Blog #220 — reviews my L IST # 1 : Causes of a regular WCT ( and how to assess hemodynamic stability ).
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. She presented to the emergency department after a couple of days of chest discomfort.
Ken Grauer, MD
MARCH 12, 2023
What is unusual about this arrhythmia? Doing so suggests that the R-R interval of this exceedingly rapid arrhythmia is just a tiny amount over 1 large box — which corresponds to a ventricular rate just under 300/minute ( ie, between 290-300/minute ). PEARL # 3: Atrial Flutter with 1:1 AV conduction is rare!
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