Arrhythmia Atrial Flutter Ultrasound 
Dr. Smith's ECG Blog
JULY 5, 2024
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. PEARL #1: The most commonly overlooked arrhythmia is AFlutter ( A trial F lutter ).
Dr. Smith's ECG Blog
AUGUST 3, 2018
Here was his prehospital ECG, which I viewed immediately while the resident performed cardiac ultrasound: What do you think? Here is the cardiac ultrasound which the resident performed as I viewed the ECG: This shows a huge pericardial effusion. Leads II and aVF appear to have flutter waves. Is is sinus? I could not see P-waves.
Dr. Smith's ECG Blog
MARCH 6, 2020
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.
Dr. Smith's ECG Blog
APRIL 8, 2015
Check : [vitals, SOB, Chest Pain, Ultrasound] If the patient has Abdominal Pain, Chest Pain, Dyspnea or Hypoxemia, Headache, Hypotension , then these should be considered the primary chief complaint (not syncope). The most recent and probably best study is this: Canadian Syncope Arrhythmia Risk Score. orthostatic vitals b. Mukarram, M.,
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