2020 Atrial Flutter Chest Pain 
Dr. Smith's ECG Blog
AUGUST 14, 2023
Written by Pendell Meyers, with some edits by Smith A man in his 40s with many comorbidities presented to the ED with chest pain, hypotension, dyspnea, and hypoxemia. The rhythm is 2:1 atrial flutter. An 80-something woman who presented with chest pain and dyspnea. Here is his triage ECG: What do you think?
Dr. Smith's ECG Blog
JULY 14, 2023
That volatile course included Atrial flutter with RVR: == MY Comment , by K EN G RAUER, MD ( 7/11 /2023 ): == It's always rewarding to get "a Save!" — as in today's case, in which this 40-something year old patient with persistent VFib, followed by an extended complicated course — ultimately survived with intact neurologic status!
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
JANUARY 9, 2024
She presented to the emergency department after a couple of days of chest discomfort. 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.
Dr. Smith's ECG Blog
NOVEMBER 15, 2020
So this is an extremely slow atrial flutter with 2:1 conduction. Atrial rate 146, ventricular rate 73. I suspect that the amyloid slows the conduction of the atrial flutter. It turned out that he had a history of slow atrial flutter. There was no chest pain — and all troponins were negative.
Dr. Smith's ECG Blog
OCTOBER 25, 2022
She reports that she is now unable to vagal out of her palpitations and is having shortness of breath and dull chest pain. The differential of a regular narrow QRS tachycardia is sinus tachycardia, SVT, and atrial flutter with regular conduction. Her initial EKG is below.
Dr. Smith's ECG Blog
JANUARY 5, 2020
This 60-something with h/o COPD and HFrEF (EF 25%) presented with SOB and chest pain. of all cases, and 62% of Veritas® misdiagnoses). == MY Comment , by K EN G RAUER, MD ( 1/5/2020 ): == This case illustrates a number of important teaching points. The patient in this case presented with dyspnea and chest pain.
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