Atrial Flutter : Conduction & Ventricular Response Atrial flutter is a macro-reentrant atrial tachycardia with a characteristic sawtooth pattern on ECG, most visible in leads II, III, and aVF. The atrial rate is typically regular and ranges from 250-350 bpm. The ventricular response is determined by the refractory period of the atrioventricular (AV) node, leading to fixed conduction ratios. 🔹 2:1 Block: Most common; ventricular rate ~150 bpm 🔹4:1 Block: Target with pharmacologic rate control �
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Atrial Flutter 🔁 Pathogenesis: A macro-re-entrant tachycardia, most commonly due to a counterclockwise re-entry circuit around the tricuspid annulus in the right atrium. The atrium depolarizes at ~300 bpm (range 180-350). Key Clinical Findings: Ventricular rate is determined by AV nodal conduction (e.g., 2:1 block → ~150 bpm). Symptoms (palpitations, dyspnea, fatigue, presyncope) stem from reduced cardiac output at high rates. Diagnostic ECG Hallmark: Sawtooth flutter waves (inverted in inferio
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8 ECG rhythms through the medium of dance part 2 1. Atrial flutter 2. Supra ventricular tachycardia 3. Polymorphic ventricular tachycardia (torsades de pointes) 4. Pulseless electrical activity (PEA) 5. Wolf Parkinson’s white syndrome (WPW) 6. Sinus arrest 7. P wave wave asystole 8. VT into VF (ventricular fibrillation) . . 👊 Hit follow & like for more prehospital content . . 🖥️ head over to www.themedicallounge.co.uk and sign up for incoming educational courses and quizzes. . . 🛒 Head over t
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