Remove Atrial Flutter Remove Hospital Remove Tachycardia
article thumbnail

Wide Complex Tachycardia -- VT, SVT, or A Fib with RVR? If SVT, is it AVNRT or AVRT?

Dr. Smith's ECG Blog

male with pertinent past medical history including Atrial fibrillation, atrial flutter, cardiomyopathy, Pulmonary Embolism, and hypertension presented to the Emergency Department via ambulance for respiratory distress and tachycardia. Description : Regular Wide Complex Tachycardia at a rate of about 160.

article thumbnail

A fascinating electrophysiology case. What is this wide complex tachycardia, and how best to manage it?

Dr. Smith's ECG Blog

She had a single chamber ICD/Pacemaker implanted several years prior due to ventricular tachycardia. The ECG was interpreted as showing atrial flutter with 2:1 conduction. Answer : The ECG above shows a regular wide complex tachycardia. The heart rate could be compatible with that of a 2:1 conducted atrial flutter.

article thumbnail

Wide-complex tachycardia: VT, aberrant, or "other?"

Dr. Smith's ECG Blog

Wide-complex tachycardia: VT or aberrant, or "other?" The patient had a history of paroxysmal atrial fibrillation and several cardioversions. A wide-complex tachycardia in an older patient must immediately suggest ventricular tachycardia. Instead, the rate of 150, plus the history of AF, suggested atrial flutter.

article thumbnail

ECG Blog #370 — A Post-Arrest Tachycardia.

Ken Grauer, MD

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. PEARL # 3: At this point — the most time-efficient step for solving today's rhythm will be to determine the nature of atrial activity.

Blog 78
article thumbnail

A 50 year old man with sudden altered mental status and inferior STE. Would you give lytics? Yes, but not because of the ECG!

Dr. Smith's ECG Blog

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. Tachycardia and ST Elevation. Christmas Eve Special Gift!!

article thumbnail

Syncope while on a treadmill

Dr. Smith's ECG Blog

This strip was obtained: Apparent Wide Complex Tachycardia at a rate of 280 What do you think? 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.

article thumbnail

Colchicine to Prevent Atrial Fibrillation Recurrence After Catheter Ablation: A Randomized, Placebo-Controlled Trial

Circulation: Arrhythmia and Electrophysiology

years, colchicine did not reduce a composite of emergency department visit, cardiovascular hospitalization, cardioversion, or repeat ablation (29 versus 25 per 100 patient-years; HR, 1.18 [95% CI, 0.69–1.99];P=0.55).CONCLUSIONS:Colchicine mg twice daily or placebo for 10 days. 11.53];P<0.001). During a median follow-up of 1.3