Atrial Flutter Chest Pain Heart Disease 
Dr. Smith's ECG Blog
DECEMBER 20, 2024
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 chest pain. He said he had had three episodes of chest pain that day while urinating. ECG 1 What do you think? There is a lot going on in this ECG.
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.
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
JANUARY 9, 2024
She presented to the emergency department after a couple of days of chest discomfort. The ECG was interpreted as showing atrial flutter with 2:1 conduction. The heart rate is about 130 bpm. The heart rate could be compatible with that of a 2:1 conducted atrial flutter. The ECG below was recorded.
Dr. Smith's ECG Blog
NOVEMBER 15, 2020
So this is an extremely slow atrial flutter with 2:1 conduction. Atrial rate 146, ventricular rate 73. I suspect that the amyloid slows the conduction of the atrial flutter. It turned out that he had a history of slow atrial flutter. There was no chest pain — and all troponins were negative.
Dr. Smith's ECG Blog
OCTOBER 25, 2022
She reports that she is now unable to vagal out of her palpitations and is having shortness of breath and dull chest pain. The differential of a regular narrow QRS tachycardia is sinus tachycardia, SVT, and atrial flutter with regular conduction. Her initial EKG is below.
Dr. Smith's ECG Blog
APRIL 8, 2015
Check : [vitals, SOB, Chest Pain, Ultrasound] If the patient has Abdominal Pain, Chest Pain, Dyspnea or Hypoxemia, Headache, Hypotension , then these should be considered the primary chief complaint (not syncope). Vasovagal predisposition (warm crowded place, prolonged standing, fear, emotion, pain: (-1) 2.
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