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ATTR-ACT Post Hoc Analysis: AFib/AFL Not Predictive of Mortality in Patients With ATTR-CM

American College of Cardiology

Although atrial fibrillation/atrial flutter (AFib/AFL) are common manifestations of transthyretin amyloid cardiomyopathy (ATTR-CM), a post hoc analysis of the ATTR-ACT study, published April 30 in JACC: CardioOncology, found they do not predict all-cause mortality.

AFIB 55
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Thromboembolic Complications From Atrial Fibrillation and Atrial Flutter in Pediatrics and Young Adults: A Multicenter Study

Journal of Cardiovascular Electrophysiology

ABSTRACT Background Atrial fibrillation and atrial flutter are relatively rare in young people and the incidence of thromboembolic complications is unknown. Results There were 311 episodes of AFib/AFl among 210 patients with a median age of 17 (IQR 14, 20) years.

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Regular Wide Complex Tachycarida with poor LV function and hypotension. Duration unknown. How to manage?

Dr. Smith's ECG Blog

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. IV Digoxin may begin to slow the ventricular response of AFib or AFlutter sooner than many clinicians realize.

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Syncope while on a treadmill

Dr. Smith's ECG Blog

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. Reverted to atrial fibrillation with RVR while in the hospital 3 times and needed cardioversion.

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Wide Complex Tachycardia -- VT, SVT, or A Fib with RVR? If SVT, is it AVNRT or AVRT?

Dr. Smith's ECG Blog

male with pertinent past medical history including Atrial fibrillation, atrial flutter, cardiomyopathy, Pulmonary Embolism, and hypertension presented to the Emergency Department via ambulance for respiratory distress and tachycardia. Now you CAN on occasion see PVCs during reentry SVTs that do not convert the SVT.

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Wide-complex tachycardia: VT, aberrant, or "other?"

Dr. Smith's ECG Blog

Instead, the rate of 150, plus the history of AF, suggested atrial flutter. A close inspection of lead II showed P or flutter waves at a rate of about 300 bpm, also supporting atrial flutter. There appear to be flutter waves at a rate of 300. Flecainide encourages new atrial flutter.

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Arrhythmia? Ischemia? Both? Electricity, drugs, lytics, cath lab? You decide.

Dr. Smith's ECG Blog

The rhythm differential for narrow, regular, and tachycardic is sinus rhythm, SVT (encompassing AVNRT, AVRT, atrial tach, etc), and atrial flutter (another supraventricular rhythm which is usually considered separately from SVTs). Therefore this patient is either in some form of SVT or atrial flutter. If so, why?