AFIB Atrial Flutter Chest Pain 
Dr. Smith's ECG Blog
MARCH 6, 2020
This middle-aged man with no cardiac history but with significant history of methamphetamin and alcohol use presented with chest pain and SOB, worsening over days, with orthopnea. There is atrial activity before every QRS, but that activity has negative polarity, so it is not sinus rhythm. The other atrial flutter types are: 1.
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
JANUARY 5, 2020
This 60-something with h/o COPD and HFrEF (EF 25%) presented with SOB and chest pain. M Y A NSWER: In my experience, MAT is the 2nd-most commonly overlooked cardiac arrhythmia ( surpassed only by Atrial Flutter ). The patient in this case presented with dyspnea and chest pain. GET a 12-lead!
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