Atrial Flutter : Conduction & Ventricular Response Atrial flutter is a macro-reentrant atrial tachycardia with a characteristic sawtooth pattern on ECG, most visible in leads II, III, and aVF. The atrial rate is typically regular and ranges from 250-350 bpm. The ventricular response is determined by the refractory period of the atrioventricular (AV) node, leading to fixed conduction ratios. 🔹 2:1 Block: Most common; ventricular rate ~150 bpm 🔹4:1 Block: Target with pharmacologic rate control �
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Atrial Fibrillation vs Atrial Flutter 🫀 Atrial Fibrillation Disorganized atrial impulses Rate: >400 bpm, irregularly irregular rhythm No P waves, variable ventricular response Types: paroxysmal, persistent, permanent Atrial Flutter Organized atrial activity Rate: 200–350 bpm, regular rhythm Saw-tooth flutter waves, no P waves AV conduction ratios (4:1, 3:1, 2:1) #Cardiology #ECG #Arrhythmia #AtrialFibrillation #AtrialFlutter | Abdallah Othman
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