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Atrialflutter with 2:1 conduction. The atrialflutter 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 atrialflutter soon after her aortic surgery, and was put on flecainide approximately 1 month ago.
Previously healthy, taking no medication and exercising regularly. No anginal symptoms asymptomatic during physical exercise. An exercise stress test while taking the drug can be performed ensure that the QRS does not increase further at higher heart rates (ie, as a result of flecainide's use-dependence ). Van Zyl, M., &
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