Classical demonstration of atrial flutter with slow ventricular rate captured on echo: an illustration of an important pathophysiological phenomenon

Hirapur, Iranna; Mantgol, Rajeshwari Veeranna; Agrawal, Navin

doi:10.1136/bcr-2014-205447

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2021

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“…Atrial flutter with AV node blockade is a potentially life-threatening cause of bradycardia usually seen in patients with preexisting valvular or structural diseases and/or conduction system disease [5]. Patients may also present with hemodynamic instability from the slow ventricular response (SVR) [6].…”

Section: Discussionmentioning

confidence: 99%

Unusual Presentation of Atrial Flutter With Slow Ventricular Response

Dobariya

Ezeh

Suliman

et al. 2021

Cureus

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Atrial flutter is usually associated with tachycardia with a ventricular rate of 150 beats per minute. Less commonly, it may be associated with a slow ventricular response (SVR). This is typically seen in patients taking atrioventricular (AV) nodal blocking agents such as beta-blockers. In the absence of these drugs, atrial flutter with SVR may suggest intrinsic AV nodal disease, electrolyte disturbances, or atrial disease. We present a case of atrial flutter with SVR in a patient who was not receiving AV nodal blocking agents.

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Section: Discussionmentioning

confidence: 99%