WebAtrial flutter gives a sawtooth appearance on the ECG, with repeated P wave occurring at around 300 per minute, with a narrow complex tachycardia. Treatment is similar to atrial fibrillation, including anticoagulation based on the CHA2DS2-VASc score. Radiofrequency ablation of the re-entrant rhythm can be a permanent solution. Prolonged QT Interval WebMay 9, 2024 · The resulting pulse rate is around 150 bpm. Atrial flutter creates a very specific “sawtooth” pattern on a diagnostic test known as an electrocardiogram (EKG). …
Atrial Flutter • LITFL • ECG Library Diagnosis
WebThe sawtooth appearance is best seen in the inferior leads and is caused by the circuit alternately heading towards the inferior leads and away as it speeds around the atrium. As the circuit is fixed, the rate of atrial contraction is constant (depending on the size of the atria – in a normal-sized chamber, flutter waves are around 300bpm but ... WebMay 1, 2024 · Electrocardiogram (ECG) is one of the most commonly performed investigations in emergency departments (EDs), and is an extremely useful adjunct that guides diagnosis, prognosis and treatment. glenn reed attorney san antonio
ECG Differential Diagnosis • LITFL • ECG Library Basics
WebJun 21, 2015 · An ECG is therefore an essential part of the investigation of any patient with a slow pulse rate, and indeed of any patient with dizziness, syncope or breathlessness. The … Websawtooth pattern on ECG Last reviewed 01/2024 These include: if the P waves are about 300 per minute, and there is a 3:1 block, then the ECG will have a characteristic saw-tooth appearance if atrial flutter is associated with a 2:1 block, P waves are difficult to recognise because of the superposition of the preceding T waves WebApr 14, 2024 · Atrial flutter waves have regular sawtooth appearance without any isoelectric line (Fig. 5.5, lead II). These waves are best seen in leads II, III, aVF, and V 1 [ 2 ]. Rarely atrial flutter waves may be seen clearly only in the precordial leads V 1 to V 3 [ 3 ]. glenn reed hisd