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Atrial flutter (AFL) is a common abnormal heart rhythm that starts in the atrial chambers of the heart. [1] When it first occurs, it is usually associated with a fast heart rate and is classified as a type of supraventricular tachycardia (SVT). [2]
Because the ratio of P to QRS is usually consistent, A-flutter is often regular in comparison to its irregular counterpart, atrial fibrillation. Atrial flutter is also not necessarily a tachycardia by definition unless the AV node permits a ventricular response greater than 100 beats per minute.
There are 6 different sinus arrhythmia. [1] [2]A normal heart should have a normal sinus rhythm, this rhythm can be identified by a ventricular rate of 60-100 bpm, at a regular rate, with a normal PR interval (0.12 to 0.20 second) and a normal QRS complex (0.12 second and less).
Ventricular flutter is an arrhythmia, more specifically a tachycardia affecting the ventricles with a rate over 250-350 beats/min, and one of the most indiscernible. It is characterized on the ECG by a sinusoidal waveform without clear definition of the QRS and T waves.
A resting heart rate that is too fast – above 100 beats per minute in adults – is called tachycardia, and a resting heart rate that is too slow – below 60 beats per minute – is called bradycardia. [2] Some types of arrhythmias have no symptoms. [1] Symptoms, when present, may include palpitations or feeling a pause between heartbeats. [1]
[1] [2] Symptoms include a very fast or irregular heartbeat. Palpitations are a sensory symptom. [1] They are often described as a skipped beat, a rapid flutter, or a pounding in the chest or neck. [1] [2] Palpitations are not always the result of a physical problem with the heart and can be linked to anxiety. [3]
Atrial flutter is used to describe when the atria contract at really high rates—about 300 beats per minute, but sometimes as high as 400 beats per minute. Why flutter? Well there’s a wave of muscle contraction that flows through the atria that looks like its flapping or fluttering, hence the name.
Regular if 1 to 1, 2 to 1, or 4 to 1 AV block; P wave morphology Unifocal, but similar in morphology to each other; Might be inverted; Differs from normal sinus P wave; May exhibit either long RP or short PR intervals; Rhythm may be paroxysmal or sustained May demonstrate an increase in the rate at initiation (e.g., "warm up," or "rev up")