Atrial Flutter Chest Pain Hospital 
Heart BMJ
SEPTEMBER 25, 2024
Clinical introduction A woman is her 60s with no medical history presented to the hospital with palpitations and occasional nausea. The patient reported no chest pain or shortness of breath. Observations revealed a normal temperature of 36.5°C °C and a normal blood pressure of 123/83 mm Hg.
Dr. Smith's ECG Blog
JULY 14, 2023
So we activated the Cath Lab Angiogram: Impression and Recommendations: Culprit for the patient's anterior ST segment myocardial infarction and out of hospital V-fib cardiac arrest is a thrombotic occlusion of the mid LAD The first troponin returned barely elevated at 36 ng/L (URL = 35) In our study of initial troponin in STEMI, 26.8%
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
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 could be compatible with that of a 2:1 conducted atrial flutter. Also, lead I could give the initial impression of showing flutter waves.
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
MARCH 6, 2020
This middle-aged man with no cardiac history but with significant history of methamphetamin and alcohol use presented with chest pain and SOB, worsening over days, with orthopnea. The patient was given furosemide and admitted to the hospital. The other atrial flutter types are: 1. BP:143/99, Pulse 109, Temp 37.2 °C
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