Atrial Flutter - ACLS Wiki
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Atrial Flutter - ACLS Wiki
On an ECG, atrial flutter resembles F waves with a sawtooth pattern. This is the result of an ectopic atrial pacemaker or because of a rapid reentry pathway somewhere within the atria but outside of the SA node area. This ectopic pacemaker usually originates somewhere in the lower atrium and closer to the AV node, […]
Oct 22, 2018
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❤️‍🩹⚡Atrial Flutter: Quick Guide What is it? Atrial flutter (AFL) is a re-entry arrhythmia, often in the cavotricuspid isthmus (CTI). Atypical flutter can arise from other atrial regions. Rheumatic heart disease (RHD) increases risk due to atrial dilation and fibrosis. Symptoms & Complications - Palpitations, dyspnea, fatigue, or syncope. - Complications: Stroke, tachycardia-induced cardiomyopathy, heart failure. Diagnosis - ECG: Saw-tooth P waves in II, III, aVF. - Advanced Tools: TEE, EPS, or
0:23
❤️‍🩹⚡Atrial Flutter: Quick Guide What is it? Atrial flutter (AFL) is a re-entry arrhythmia, often in the cavotricuspid isthmus (CTI). Atypical flutter can arise from other atrial regions. Rheumatic heart disease (RHD) increases risk due to atrial dilation and fibrosis. Symptoms & Complications - Palpitations, dyspnea, fatigue, or syncope. - Complications: Stroke, tachycardia-induced cardiomyopathy, heart failure. Diagnosis - ECG: Saw-tooth P waves in II, III, aVF. - Advanced Tools: TEE, EPS, or
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This is atrial flutter 🫀 How to recognize it quickly: • Organized atrial activity • Classic “sawtooth” flutter waves • Atrial rate ~250–350 bpm • Ventricular rate depends on AV conduction (2:1, 3:1, etc.) Atrial flutter can appear regular, unlike atrial fibrillation — which is irregularly irregular. Key reminder: 🔹 Always assess the patient 🔹 Correlate rhythm with symptoms and vital signs 🔹 Management is guided by clinical context and evidence-based guidelines Save this for rhythm review 📌
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