This site uses cookies to improve your experience. To help us insure we adhere to various privacy regulations, please select your country/region of residence. If you do not select a country, we will assume you are from the United States. Select your Cookie Settings or view our Privacy Policy and Terms of Use.
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Used for the proper function of the website
Used for monitoring website traffic and interactions
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Strictly Necessary: Used for the proper function of the website
Performance/Analytics: Used for monitoring website traffic and interactions
BACKGROUND:Inflammation may promote atrialfibrillation (AF) recurrence after catheter ablation. Colchicine did not prevent atrial arrhythmia recurrence at 2 weeks (31% versus 32%; hazard ratio [HR], 0.98 [95% CI, 0.59–1.61];P=0.92) Circulation: Arrhythmia and Electrophysiology, Ahead of Print. 2.02];P=0.89). 1.99];P=0.55).CONCLUSIONS:Colchicine
In the evening, a middle-aged man complained of chestpain at the nursing home. His chestpain was vague. He mentioned "cancer" and "chest". Leads II and aVF appear to have flutter waves. I diagnosed atrialflutter with 2:1 conduction. The patient converted to atrialfibrillation.
This 60-something with h/o COPD and HFrEF (EF 25%) presented with SOB and chestpain. It is not atrialfibrillation. The rhythm is indeed irregularly irregular, so atrialfibrillation must be considered. Multifocal Atrial Tachycardia 2. Here is the ECG: What do you think? Sinus with multifocal PACs 3.
To me, it was clearly atrialflutter with 1:1 conduction. The rate of 280 is just right for atrialflutter. The waves look like atrialflutter waves, NOT like a wide ventricular complex. Recently diagnosed with intermittent paroxysmal atrialfibrillation but no EKGs available to confirm.
She also has a hx of paroxysmal atrialfibrillation and is on oral anticoagulant treatment. She presented to the emergency department after a couple of days of chest discomfort. She presented to the emergency department after a couple of days of chest discomfort. The last echocardiography 12 months ago showed HFmrEF.
She reports that she is now unable to vagal out of her palpitations and is having shortness of breath and dull chestpain. The differential of a regular narrow QRS tachycardia is sinus tachycardia, SVT, and atrialflutter with regular conduction. Her initial EKG is below.
This middle-aged man with no cardiac history but with significant history of methamphetamin and alcohol use presented with chestpain 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 atrialflutter types are: 1.
Check : [vitals, SOB, ChestPain, Ultrasound] If the patient has Abdominal Pain, ChestPain, Dyspnea or Hypoxemia, Headache, Hypotension , then these should be considered the primary chief complaint (not syncope). Aortic Dissection, Valvular (especially Aortic Stenosis), Tamponade.
Written by Willy Frick with edits by Ken Grauer An older man with a history of non-ischemic HFrEF s/p CRT and mild coronary artery disease presented with chestpain. He said he had had three episodes of chestpain that day while urinating. ECG 1 What do you think? There is a lot going on in this ECG.
We organize all of the trending information in your field so you don't have to. Join thousands of users and stay up to date on the latest articles your peers are reading.
You know about us, now we want to get to know you!
Let's personalize your content
Let's get even more personalized
We recognize your account from another site in our network, please click 'Send Email' below to continue with verifying your account and setting a password.
40 
Let's personalize your content