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°C and a normal bloodpressure of 123/83 mm Hg. A 24-hour 12-lead ECG revealed sinus rhythm, frequent atrial premature beats, paroxysmal atrialflutter with an atrialflutter burden of 9.37% and no paroxysmal ST-T abnormalities. The patient reported no chest pain or shortness of breath.
Objective The usefulness of screening for atrial fibrillation (AF) using several home bloodpressure (BP) monitors has been reported. The rhythms recorded by each ECG were 73 sinus regular rhythms, 35 extrasystoles, 222 AFs and 3 atrialflutters. to 97.6%) and 96.8% (95% CI 92.6% to 100%), respectively.
Patients presenting acutely with AF or atrialflutter and rapid ventricular response to the hospital were onboarded to the virtual ward and managed at home through remote ECG-monitoring and ‘virtual’ ward rounds, after being given access to a single-lead ECG device, a bloodpressure monitor and pulse oximeter with instructions to record (..)
The ECG was interpreted as showing atrialflutter with 2:1 conduction. The heart rate could be compatible with that of a 2:1 conducted atrialflutter. Also, lead I could give the initial impression of showing flutter waves. She presented to the emergency department after a couple of days of chest discomfort.
The rhythm is 2:1 atrialflutter. The flutter waves can conceal or mimic ischemic repolarization findings, but here I don't see any obvious findings of OMI or subendocardial ischemia. 1) It would help to cardiovert to sinus rhythm This would improve the atrial contribution to ventricular filling. Lots of info here.
Bloodpressure was normal (109/83). He acknowledged that he had palpitations. but only when asked. He had a history heavy alcohol use. Here is his 12-lead: There is a wide complex tachycardia with a rate of 257, with RBBB and LPFB (right axis deviation) morphology.
Any ED systolic bloodpressure less than 90 or greater than 180 mm Hg (+1) 4. The cost per test affecting diagnosis or management was highest for electroencephalography ($32,973), CT ($24,881), and cardiac enzymes ($22,397) and lowest for postural bloodpressure ($17-$20). h/o heart disease (+1) 3.
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