Atrial Flutter

Atrial flutter occurs from a reentrant circuit around the tripcuspid valve in the right atrium. It is an organized rhythm that is generally characterized by an atrial rate around 300 bpm, and a heart rate around 150 bpm. It more commonly occurs in a counterclockwise fashion, leading to inverted flutter waves in the inferior leads (II, III, and aVF). Consider 2:1 flutter in any tachycardia with a ventricular rate of 125 to 200 bpm, most commonly close to 150 bpm.

Examples

References

  1.  Link MS. Evaluation and Initial Treatment of Supraventricular Tachycardia. New England Journal of Medicine. 2012;367(15):1438-1448.
  2. Surawicz B, Knilans TK. Chou’s Electrocardiography in Clinical Practice. 6th ed. Elsevier; 2008.