AFIB Atrial Flutter Hypertension 
Dr. Smith's ECG Blog
MARCH 28, 2024
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.
Dr. Smith's ECG Blog
NOVEMBER 26, 2018
He was hypertensive and tachycardic, with mildly increased work of breathing. 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). If so, why?
Dr. Smith's ECG Blog
JANUARY 5, 2020
M Y A NSWER: In my experience, MAT is the 2nd-most commonly overlooked cardiac arrhythmia ( surpassed only by Atrial Flutter ). AFib is the irregularly irregular rhythm that is most commonly confused with MAT — and , AFib is much, much, much more common than true MAT. GET a 12-lead! Providers FORGET to “ U se t he O dds”.
Dr. Smith's ECG Blog
JANUARY 26, 2025
Figure-2: Colored arrows highlight flutter waves , with 2:1 AV conduction. Patient history: It turns out that todays patient is an 80-something year old man with longstanding hypertension and paroxysmal atrial fibrillation. The AFib had been well controlled on Flecainide for many years. VT as a proarrhythmic effect.
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