tag:blogger.com,1999:blog-549949223388475481.post8907257112655243100..comments2024-03-28T14:02:08.119-05:00Comments on Dr. Smith's ECG Blog: What is the Diagnosis?Unknownnoreply@blogger.comBlogger10125tag:blogger.com,1999:blog-549949223388475481.post-18952785068467913742012-07-02T21:13:40.468-05:002012-07-02T21:13:40.468-05:00Good point about LAFB. Yes. But there is no LBBB...Good point about LAFB. Yes. But there is no LBBB and, if there were, you would not see LAFB because LBBB = both LAFB and LPFB.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-46604777328708027962012-07-02T18:50:53.060-05:002012-07-02T18:50:53.060-05:00Since there is Left Axis Deviation, is it safe to ...Since there is Left Axis Deviation, is it safe to say there is a possible LBBB and LAFB as well?Bachmanns Bundlehttps://www.blogger.com/profile/14815703444163828552noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-47124514574299707442012-06-24T03:08:15.013-05:002012-06-24T03:08:15.013-05:00Saw the atrial flutter( pun intended), but had thi...Saw the atrial flutter( pun intended), but had this as a LM critical stenosis with atrial flutter. WIth the seeming ST elevation aVR, V1 and aVL, and globlal ST depression. <br />Thanks for the post as this will help to temper my reading of the ST segment in the setting of A Flutter.<br />Regards<br />MattMatt RNhttps://www.blogger.com/profile/03973112776414249619noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-21613417339548556022012-06-23T11:49:42.250-05:002012-06-23T11:49:42.250-05:00From my QI research in my ED, I can safely say tha...From my QI research in my ED, I can safely say that atrial flutter is one of the most common causes of a false positive interpretation of Acute MI by the Marquette 12SL algorithm.Nerd_Alerthttps://www.blogger.com/profile/16461279753739794757noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-40071610535044537562012-06-23T09:06:06.469-05:002012-06-23T09:06:06.469-05:00It takes practice and, mostly, awareness to ask yo...It takes practice and, mostly, awareness to ask yourself, "Is this atrial flutter?"Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-83825793934620493892012-06-23T08:50:55.118-05:002012-06-23T08:50:55.118-05:00Look for:
1. Regular rhythm or
1a. regularly...Look for:<br />1. Regular rhythm or<br /> 1a. regularly irregular rhythm (all ventricular beats are a multiple of the flutter rate, 2:1 mixing with 3:1 and 4:1)<br /><br />2. ventricular Rate 125-170<br /> <br />3. Wavy baseline in leads II and V1 especially<br /><br />4. Upright p-waves in lead V1<br /><br />5. Constant rate over time<br /><br />6. Can test with adenosine (blocks ventricular QRS and unmasks flutter waves.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-22498035866890715572012-06-23T01:21:15.092-05:002012-06-23T01:21:15.092-05:00I find atrial flutter difficult to diagnose in ED ...I find atrial flutter difficult to diagnose in ED specially 2:1maateeqhttps://www.blogger.com/profile/10063793989441938455noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-69728654753341437182012-06-22T20:30:26.770-05:002012-06-22T20:30:26.770-05:00Dr. Smith,
When you say that when you are in tune...Dr. Smith,<br /><br />When you say that when you are in tune into reading atrial flutter; what do you look for?Travishttps://www.blogger.com/profile/12784677165489402715noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-27776393146158739542012-06-22T14:04:02.336-05:002012-06-22T14:04:02.336-05:00Yes, indeed. And there is LAFB here, as you notic...Yes, indeed. And there is LAFB here, as you noticed.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-11187850347849026222012-06-22T12:41:28.651-05:002012-06-22T12:41:28.651-05:00Is it ok to diagnose the LAFB when the underlying ...Is it ok to diagnose the LAFB when the underlying pattern is A-flutter?Troyhttps://www.blogger.com/profile/01227334538616584664noreply@blogger.com