Atrial Flutter Blood Pressure Tachycardia 
Dr. Smith's ECG Blog
JANUARY 9, 2024
She had a single chamber ICD/Pacemaker implanted several years prior due to ventricular tachycardia. The ECG was interpreted as showing atrial flutter with 2:1 conduction. Answer : The ECG above shows a regular wide complex tachycardia. The heart rate could be compatible with that of a 2:1 conducted atrial flutter.
Dr. Smith's ECG Blog
SEPTEMBER 7, 2020
Blood pressure was normal (109/83). Here is his 12-lead: There is a wide complex tachycardia with a rate of 257, with RBBB and LPFB (right axis deviation) morphology. Read about Fascicular VT here: Idiopathic Ventricular Tachycardias for the EM Physician Case Continued He was completely stable, so adenosine was administered.
Dr. Smith's ECG Blog
AUGUST 14, 2023
The rhythm is 2:1 atrial flutter. 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.
Dr. Smith's ECG Blog
APRIL 8, 2015
If the patient has Abnormal Vital Signs (fever, hypotension, tachycardia, or tachypnea, or hypoxemia), then these are the primary issue to address, as there is ongoing pathology which must be identified. Any ED systolic blood pressure less than 90 or greater than 180 mm Hg (+1) 4. h/o heart disease (+1) 3.
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