article thumbnail

A rare case of atrial flutter and a cystic mass in the left atrium

Heart BMJ

A 24-hour 12-lead ECG revealed sinus rhythm, frequent atrial premature beats, paroxysmal atrial flutter with an atrial flutter burden of 9.37% and no paroxysmal ST-T abnormalities. Cystic formation of the foramen ovale Aortic sinus aneurysm Left. Observations revealed a normal temperature of 36.5°C

article thumbnail

A young woman with palpitations. What med is she on? With what medication is she non-compliant? What management?

Dr. Smith's ECG Blog

Written by Pendell Meyers A woman in her 20s with connective tissue disorder and history of aortic root and valve repair presented with palpitations. Atrial flutter with 2:1 conduction. The atrial flutter rate is approximately 200 bpm, with 2:1 AV conduction resulting in ventricular rate almost exactly 100 bpm.

article thumbnail

Validation of Medicare Advantage Claims for Long-Term Outcome Assessment in Low-Risk Aortic Valve Replacement

Circulation: Cardiovascular Quality & Outcomes

Among all covariates, claims algorithms for covariates had sensitivities 85% for identifying diabetes, atrial flutter/fibrillation, and hypertension in MA and FFS. We compared the kappa for MA versus FFS using the 2-samplez-test with a significance level ofP<0.05.RESULTS:Among

article thumbnail

Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

Aortic Dissection, Valvular (especially Aortic Stenosis), Tamponade. heart auscultation (aortic stenosis); c. Look for Vascular Etiology -- think of these while doing H and P: --Bleeding: ruptured AAA, GI bleed, ruptured ectopic pregnancy, other spontaneous bleed such as mesenteric aneurysms. orthostatic vitals b.