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A young woman with palpitations. What med is she on? With what medication is she non-compliant? What management?

Dr. Smith's ECG Blog

Atrial flutter with 2:1 conduction. The atrial flutter rate is approximately 200 bpm, with 2:1 AV conduction resulting in ventricular rate almost exactly 100 bpm. Further history revealed she had new onset atrial flutter soon after her aortic surgery, and was put on flecainide approximately 1 month ago.

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Empirical superior vena cava electrical isolation guided by quantitative ablation index improves outcomes of radiofrequency catheter ablation for paroxysmal atrial fibrillation

Open Heart

Methods Patients with symptomatic PAF who underwent RFCA between October 2021 and May 2023 were retrospectively analysed. Regular clinical follow-ups were conducted to detect AF recurrence, defined as any episode of atrial fibrillation, atrial flutter or atrial tachycardia lasting >30 s.

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Boston Scientific Receives FDA Approval for FARAPULSE Pulsed Field Ablation System

DAIC

FDA in 2019 and received CE Mark in 2021. The company also recently commenced the AVANT GUARD clinical trial to evaluate the safety and efficacy of the system as a first-line treatment for persistent AF compared to anti-arrhythmic drug therapy. Boston Scientific plans to immediately launch the system in the U.S.

Ablation 111
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A 40-something presented after attempted prehospital resuscitation with persistent Ventricular Fibrillation

Dr. Smith's ECG Blog

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!

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ECG Blog #409 — Every-Other-Beat.

Ken Grauer, MD

in the field, regarding distinction between AFlutter vs Atrial Tachycardia ( 5/29/2021 ). — — E CG M edia P EARL # 57 ( 8:00 minutes Audio ) — What is r ate- r elated B undle B ranch B lock ? Reviews PEARLS regarding the ECG diagnosis of AFlutter — and — What's "New"? How does this differ from "aberrant" conduction.

Blog 175
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A man in his 70s with acute chest pain and paced rhythm.

Dr. Smith's ECG Blog

Annals of Emergency Medicine 2021. LAFB, atrial flutter, anterolateral STEMI(+) OMI. Electrocardiographic Diagnosis of Acute Coronary Occlusion Myocardial Infarction in Ventricular Paced Rhythm Using the Modified Sgarbossa Criteria. In which we compared ventricular paced OMIs with Non-OMIs and MI-ruled out patients.

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Electrical instability in a healthy 50 year old. How to manage?

Dr. Smith's ECG Blog

Smith comment-2: Another adverse effect from flecainide is atrial flutter with 1:1 conduction (if you happen to go into atrial flutter, the flecainide slows the flutter rate such that it is slow enough to conduct throught the AV node at 1:1 and you can end up with a ventricular rate of 220!! . Van Zyl, M., &