Atrial Flutter Hospital Ischemia 
Dr. Smith's ECG Blog
DECEMBER 26, 2020
His friend was able to get him into the truck and drive him to a nearby community hospital (non-PCI center). There is the appearance of STE in inferior leads II, III, and aVF (with STD in aVR), but this is entirely due to flutter waves which are only seen in those leads. Atrial Flutter with Inferior STEMI?
Dr. Smith's ECG Blog
JANUARY 9, 2024
The ECG was interpreted as showing atrial flutter with 2:1 conduction. Are you confident there is no ischemia? 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. Do you agree with this strategy?
Dr. Smith's ECG Blog
JULY 14, 2023
My interpretation was: RBBB with hyperacute T-waves in V4-V6 that are all but diagnostic of LAD occlusion vs. post ROSC ischemia. The patient had ROSC and maintained it. A 12-lead ECG was obtained: What do you think? Regional wall motion abnormality--apical anterior, mid anteroseptal, apical septal, and apical inferior akinesis.
Ken Grauer, MD
MARCH 23, 2023
The 12-lead ECG and long lead II rhythm strip shown in Figure-1 — was obtained from a previously healthy, elderly woman who collapsed in the hospital parking lot. At about this point in the process — I like to take a closer LOOK at the 12-lead tracing, to ensure there is no acute ischemia or infarction that might need immediate attention.
Dr. Smith's ECG Blog
OCTOBER 25, 2022
We see a regular tachycardia with a narrow QRS complex and no evidence of OMI or subendocardial ischemia. The differential of a regular narrow QRS tachycardia is sinus tachycardia, SVT, and atrial flutter with regular conduction. There are no P waves preceding the QRS complexes, and no clear flutter waves.
Dr. Smith's ECG Blog
MARCH 6, 2020
There is a large peaked P-wave in lead II (right atrial enlargement) There is left axis deviation consistent with left anterior fascicular block. There is no evidence of infarction or ischemia. The patient was given furosemide and admitted to the hospital. The other atrial flutter types are: 1.
Dr. Smith's ECG Blog
APRIL 8, 2015
Evidence of acute ischemia (may be subtle) vii. Clinical predictors of cardiac syncope at initial evaluation in patients referred urgently to general hospital: the EGSYS score. Background: Syncope is a common, potentially serious condition accounting for many hospital admissions. Left BBB vi. Pathologic Q-waves viii.
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