tag:blogger.com,1999:blog-549949223388475481.post5559681627264611054..comments2024-03-28T14:02:08.119-05:00Comments on Dr. Smith's ECG Blog: Atrial Flutter with Inferior STEMI?Unknownnoreply@blogger.comBlogger2125tag:blogger.com,1999:blog-549949223388475481.post-25093193031785339002013-10-12T13:46:32.903-05:002013-10-12T13:46:32.903-05:00It is definitely atrial flutter. I can see why yo...It is definitely atrial flutter. I can see why you are confused: although it is 2:1 conduction, there is some irregularity, which is unusual, but not unheard of. The flutter waves are seen as upright deflections (that appear as upright P-waves) in V1. Every other one is buried in the QRS. Sinus P-waves are almost always biphasic in lead V1. OK?Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-85574991263222083002013-10-12T10:15:57.937-05:002013-10-12T10:15:57.937-05:00i admit i can't see flutter waves in v leads, ...i admit i can't see flutter waves in v leads, also R-R intervals are not equal best seen in v2. is this right for atrial flutter, sir?Ahmadhttps://www.blogger.com/profile/13823505739070974000noreply@blogger.com