Remove Ablation Remove Atrial Flutter Remove Bradycardia
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Wide-complex tachycardia that didn’t follow the rules

Dr. Smith's ECG Blog

The WCT is interrupted by a series of variable-morphology QRS complexes, with atrial flutter waves note in II, III, and aVF. Detail of Flutter waves The rate of the flutter waves matches the rate of the WCT (about 200/m), proving that the presenting WCT had been 1:1 atrial flutter.

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

Dr. Smith's ECG Blog

There are 2 main options: Overdrive pacing could be considered and in the right clinical situation, this is often effective for reducing ventricular arrhythmias ( especially in the case of preventing pause induced or bradycardia-induced arrhythmias in association with QTc prolongation ). Try a different kind of antiarrhythmic.