Remove AFIB Remove Atrial Flutter Remove Ultrasound
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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. Bedside ultrasound showed volume depletion and no pulmonary edema.

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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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New Onset Heart Failure and Frequent Prolonged SVT. What is it? Management?

Dr. Smith's ECG Blog

A bedside POC cardiac ultrasound was done: Findings: Decreased left ventricular systolic function. 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. The patient was given furosemide and admitted to the hospital.