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Handy Tips For Spotting Flutter Rapid Recognition AV block is a physiological response to rapid atrial rates and implies a normally functioning AV node. The term “AV block” in the context of atrial flutter is something of a misnomer.

Atrial flutter with 1:1 conduction is associated with severe haemodynamic instability and progression to ventricular fibrillation.

The administration of AV-nodal blocking agents to a patient with Wolff-Parkinson-White syndrome can precipitate this

Atrial flutter with 1:1 conduction can occur due to sympathetic stimulation, or in the presence of an accessory pathway.

Higher-degree blocks can occur - usually due to medications or underlying heart disease - resulting in lower rates of ventricular conduction, e.g.

The most common AV ratio is 2:1, resulting in a ventricular rate of ~150 bpm

Ventricular rate is determined by the AV conduction ratio (“degree of AV block”).

The length of the re-entry circuit corresponds to the size of the right atrium, resulting in a fairly predictable atrial rate of around 300 bpm (range 200-400) Please read, understand, and follow the rules.Ĭontact the moderators if you have questions, concerns, or seek a special exemption for any of these rules.Atrial flutter is a form of supraventricular tachycardia caused by a re-entry circuit within the right atrium.

COUNTER CLOCK PODCAST FREE

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