Atrial Flutter Ecg
Flutter waves saw tooth pattern best seen in leads ii iii avf may be more easily spotted by turning the ecg upside down.
Atrial flutter ecg. Ecg features of atrial flutter general features. Usually a paroxysmal rhythm precipitated by a pac. Regular atrial activity at 300 bpm. The flutter waves on the contrary to f waves in atrial fibrillation have identical morphology in each ecg lead.
Causes include pe hypoxia copd pneumonia cardiac surgery cardiomyopathy ischemic heart disease. Flutter waves in v1 may resemble p waves. Valve disease mitral alcohol intoxication. 2 atrial beats for every qrs saw tooth pattern flipping the ecg upside down and paying attention to all 12 leads will help you identify subtle flutter waves the bix rule described by cardiologist harold bix states that if a p wave is located halfway between two qrs complexes there is a good chance that p waves are also buried inside the qrs.
Irritable foci in atrium fires regularly at a rapid rate.