Monday, December 4, 2017

Elective Cardioversion of Atrial Flutter Part I


This patient was admitted with a SVT.  She received adenosine 6 mg and 12 mg without conversion of the rhythm.  However, the adenosine did clarify the rhythm as an atrial flutter.  She was managed with a calcium channel blocker and anticoagulated.  An echo was done and no atrial clots were noted.  She underwent elective cardioversion and was successfully cardioverted after two attempts.  




2 comments:

  1. Interesting case. That's an impressive interatrial conduction abnormality on the post-cardioversion rhythm strip. Since this is "part I" I'm hoping you have a follow-up strip or 12-lead, because I rather doubt the patient will remain in sinus rhythm if that's there's baseline P-wave.

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    1. Thank you Vince. Yes, there is a follow up strip on Part II. The patient remained in sinus rhythm and was discharged home.

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