Atrial Flutter Blog Chest Pain 
Dr. Smith's ECG Blog
FEBRUARY 9, 2024
Written by Jesse McLaren A 65 year old with a history of atrial flutter, CABG and end-stage renal disease on dialysis presented with 3 days of fluctuating chest pain, which was ongoing at triage. So a patient with high pretest probability (prior CABG with new chest pain), had new ECG changes showing posterior OMI.
Dr. Smith's ECG Blog
AUGUST 14, 2023
Written by Pendell Meyers, with some edits by Smith A man in his 40s with many comorbidities presented to the ED with chest pain, hypotension, dyspnea, and hypoxemia. The rhythm is 2:1 atrial flutter. An 80-something woman who presented with chest pain and dyspnea. Here is his triage ECG: What do you think?
Dr. Smith's ECG Blog
AUGUST 3, 2018
In the evening, a middle-aged man complained of chest pain at the nursing home. His chest pain was vague. He mentioned "cancer" and "chest". Leads II and aVF appear to have flutter waves. I diagnosed atrial flutter with 2:1 conduction. He was awake, with a pulse of 130 and BP of 50/30.
Dr. Smith's ECG Blog
DECEMBER 27, 2014
A male in his 60's called 911 for dizziness and chest pain, onset with exertion. If it is slow Atrial flutter with 1:1 conduction, it should slow the conduction and reveal the flutter waves. Rate 120, flutter rate 240. How do I know (or think I know) it was atrial flutter with aberrancy?
Dr. Smith's ECG Blog
SEPTEMBER 17, 2021
40-something yo who is on flecainide and diltiazem had sudden onset chest pain, palpitations, shortness of breath and diaphoresis : Rate is 220. So it is not atrial fib and not VT. The fact that the patient is on Flecainide and Diltiazem is good evidence that this is atrial flutter with 1:1 conduction. Which is it?
Dr. Smith's ECG Blog
JULY 14, 2023
That volatile course included Atrial flutter with RVR: == MY Comment , by K EN G RAUER, MD ( 7/11 /2023 ): == It's always rewarding to get "a Save!" — as in today's case, in which this 40-something year old patient with persistent VFib, followed by an extended complicated course — ultimately survived with intact neurologic status!
Dr. Smith's ECG Blog
SEPTEMBER 18, 2024
To me, it was clearly atrial flutter with 1:1 conduction. The rate of 280 is just right for atrial flutter. The waves look like atrial flutter waves, NOT like a wide ventricular complex. Recently diagnosed with intermittent paroxysmal atrial fibrillation but no EKGs available to confirm.
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