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7 Cards in this Set

  • Front
  • Back
what is a flutter generally accompanied by?
AV block
where is the classic saw-tooth pattern (F waves) best seen?
leads II and V1
how do atrial flutter and fib compare in terms of their association with more severe cardiac disease?
they both can be associated, by a fib is more likely to be associated with:

-CAD or mitral valve disease
-PE
-hyperthyroidism
-cardiac trauma
-myocarditis
atrial flutter rates
most commonly associated with AV block of 2:1, so the atrial rate is 300 beats/min, the ventricular is 150 beats/min
regularity of flutter
the atrial rate is regular, the ventricular is regular if there is a fixed AV block, irregular if not
treatment of flutter
pharmacologic, or DC cardioversion (but have to rule out thrombotic risk first)
pharm therapy
first line is B-blockers to slow AV conduction and control ventricular rate
next line are Ca-channel blockers