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ABSTRACT Background Atrial fibrillation and atrialflutter are relatively rare in young people and the incidence of thromboembolic complications is unknown. Two patients had symptoms concerning for a thromboembolic event on follow-up, but none had a newly documented thrombus.
Primary endpoint was the incidence of patients with new onset supraventricular arrhythmia (AF, atrialflutter or any supraventricular tachycardia) lasting >30s, post PFO closure.ResultsA total of 59 patients met the inclusion criteria. AF) were documented during follow-up. days (IQR 1321).
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.
Meyers note: notice in their documentation many of the classic mistakes of the STEMI generation: "Non ST Elevation MI" as their reasoning for why the patient did not merit emergent reperfusion, while simultaneously calling it "emergently" (after 8 hours!!!) Angiogram: "ACS - Non ST Elevation Myocardial Infarction.
See below how this has been documented. M Y A NSWER: In my experience, MAT is the 2nd-most commonly overlooked cardiac arrhythmia ( surpassed only by AtrialFlutter ). It may lead to false negative or false positive diagnoses, and withholding of necessary anticoagulation, or administering or inappropriate anticoagulation.
Methods The primary effectiveness endpoint (PEE) was 12-month freedom from documentedatrial fibrillation/atrialflutter/atrial tachycardia plus freedom from acute procedural failure, nonstudy catheter failure, repeat ablation failure, direct current cardioversion (DCCV), and Class I/III antiarrhythmic drug (AAD) failure.
Thus, if there is documented sinus bradycardia, and no suspicion of high grade AV block, at the time of the syncope, this is very useful. Premonitory symptoms (Nausea, pallor, diaphoresis, flushing), or triggers (Valsalva, Pain, Emotion, Prolonged Standing, Dehydration) are very useful in making the diagnosis.
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