Atrial Flutter Hypertension Tachycardia 
Dr. Smith's ECG Blog
MARCH 28, 2024
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.
Heart BMJ
SEPTEMBER 16, 2024
She was noted to be in heart failure, with hypotension and tachycardia. Echocardiography demonstrated severe calcific mitral stenosis with pulmonary hypertension. She reverted to normal sinus rhythm with features of left atrial enlargement, a heart rate of 60/min and a prolonged corrected QT interval (474 ms) ( figure 1B ).
Dr. S. Venkatesan MD
APRIL 28, 2024
In all probability, this dilation is a form of atrial tachycardia and atrial cardiomyopathy. However, underlying lesions such as hypertension, mitral valve disease, COPD, ASD, and TR greatly influence the degree of atrial enlargement. We know atrial flutters can be confined to one atrium.
Dr. Smith's ECG Blog
MAY 1, 2023
edits by Meyers A woman in her 60s with a history of chronic atrial fibrillation on Eliquis, ESRD on hemodialysis, type-II diabetes mellitus, prior CVA, hypertension, and hyperlipidemia presented to the emergency department with multiple complaints after missing dialysis. They are flutter waves, and the rhythm is 2:1 atrial flutter.
Dr. Smith's ECG Blog
JANUARY 5, 2020
The rhythm is indeed irregularly irregular, so atrial fibrillation must be considered. There are 5 other rhythms that are irregularly irregular , though atrial fibrillation is by far the most common: 1. Multifocal Atrial Tachycardia 2. Sinus with multifocal PACs 3. Sinus with multifocal PVCs 4.
Dr. Smith's ECG Blog
AUGUST 14, 2023
The rhythm is 2:1 atrial flutter. The flutter waves can conceal or mimic ischemic repolarization findings, but here I don't see any obvious findings of OMI or subendocardial ischemia. Chronic RVH is due to chronic pulmonary hypertension, and these patients are extremely difficult to manage when they are acutely ill.
Dr. Smith's ECG Blog
NOVEMBER 26, 2018
He was hypertensive and tachycardic, with mildly increased work of breathing. The rhythm differential for narrow, regular, and tachycardic is sinus rhythm, SVT (encompassing AVNRT, AVRT, atrial tach, etc), and atrial flutter (another supraventricular rhythm which is usually considered separately from SVTs).
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