Heart BMJ
SEPTEMBER 25, 2024
The patient reported no chest pain or shortness of breath. A 24-hour 12-lead ECG revealed sinus rhythm, frequent atrial premature beats, paroxysmal atrial flutter with an atrial flutter burden of 9.37% and no paroxysmal ST-T abnormalities. Observations revealed a normal temperature of 36.5°C
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
MAY 8, 2023
Edits by Meyers and Smith A man in his 70s with PMH of hypertension, hyperlipidemia, type 2 diabetes, CVA, dual-chamber Medtronic pacemaker, presented to the ED for evaluation of acute chest pain. LAFB, atrial flutter, anterolateral STEMI(+) OMI. Triage ECG: What do you think? This is diagnostic of proximal LAD occlusion.
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.
Circulation: Arrhythmia and Electrophysiology
DECEMBER 21, 2023
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) Postablation chest pain consistent with pericarditis was reduced with colchicine (4% versus 15%; HR, 0.26 [95% CI, 0.09–0.77];P=0.02) mg twice daily or placebo for 10 days. 2.02];P=0.89).
Dr. Smith's ECG Blog
JULY 16, 2024
This is the prehospital ECG from an 81 year old man with acute chest pain. There are 2 atrial "bumps" for every QRS. Here I put arrows: Arrows shows slow atrial flutter waves. And — it may be that this 81-year old man's "chest pain" may also disappear as soon as normal sinus rhythm is reestablished.
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?
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