2020 Atrial Fibrillation 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. If it is flutter, it will reveal the underlying flutter waves. BP was 100 systolic.
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.)
Dr. Smith's ECG Blog
JANUARY 5, 2020
Here is the computer interpretation: ATRIAL FIBRILLATION WITH RAPID VENTRICULAR RESPONSE WITH ABERRANT CONDUCTION OR VENTRICULAR PREMATURE COMPLEXES LEFT AXIS DEVIATION [QRS AXIS beyone -30] NONSPECIFIC ST and T-WAVE ABNORMALITY The over-reading physician confirmed this diagnosis, which is incorrect. It is not atrial fibrillation.
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. Recently diagnosed with intermittent paroxysmal atrial fibrillation but no EKGs available to confirm.
Dr. Smith's ECG Blog
MAY 1, 2023
edits by Meyers A woman in her 60s with a history of chronic atrial fibrillation on Eliquis, ESRD on hemodialysis, type-II diabetes mellitus, prior CVA, hypertension, and hyperlipidemia presented to the emergency department with multiple complaints after missing dialysis. They are flutter waves, and the rhythm is 2:1 atrial flutter.
Dr. Smith's ECG Blog
JANUARY 9, 2024
She also has a hx of paroxysmal atrial fibrillation and is on oral anticoagulant treatment. 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. The last echocardiography 12 months ago showed HFmrEF.
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. This includes sinus tachycardia, atrial fibrillation or flutter, MAT, and others.
Expert insights. Personalized for you.
113 
Let's personalize your content