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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Atrial Flutter 🔁 Pathogenesis: A macro-re-entrant tachycardia, mos…
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🔵 Atrial Flutter: Fast, Regular, and Recognizable! 🌀 What is it? A rapid, regular atrial rhythm with classic sawtooth waves on ECG. ⚡ Why it matters: Caused by a reentrant circuit—leads to atrial rates of 250–350 bpm and risk of stroke. 💡 Management Highlights: Acute: Cardioversion if unstable Rate control: Beta-blockers, CCBs, digoxin Rhythm control: Antiarrhythmics, ablation Stroke prevention: Anticoagulate per CHA2DS2-VASc ❗ Complications: Stroke, heart failure, tachycardia-induced cardiom
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🔵 Atrial Flutter: Fast, Regular, and Recognizable! 🌀 What is it? A rapid…
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🔵 Atrial Flutter: Fast, Regular, and Recognizable! 🌀 What is it? A rapid, regular atrial rhythm with classic sawtooth waves on ECG. ⚡ Why it matters: Caused by a reentrant circuit—leads to atrial rates of 250–350 bpm and risk of stroke. 💡 Management Highlights: Acute: Cardioversion if unstable Rate control: Beta-blockers, CCBs, digoxin Rhythm control: Antiarrhythmics, ablation Stroke prevention: Anticoagulate per CHA2DS2-VASc ❗ Complications: Stroke, heart failure, tachycardia-induced cardiom
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Atrial Tachycardia Vs. Atrial Flutter: Quick Guide 🫀⚡️ Mechanism: Focus 🎯 vs. Circuit 🔁 ECG Baseline:Flat line ⏸️ vs. Continuous Sawtooth 🔁 Key Pearl:Look for the isoelectric line! It's the fastest clue. 💡 #Cardiology #ECG #Arrhythmia #MedEd #AtrialTachycardia #AtrialFlutter #Cardiology #Electrophysiology | Abdallah Othman
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