Jump to content

Atrial Fib vs Atrial Flutter- EKG


Recommended Posts

  • Replies 28
  • Created
  • Last Reply

Top Posters In This Topic

Top Posters In This Topic

Popular Posts

Spend a little cash on Dale Dubin's EKG book, it's been a mainstay of many a medic/nurse/MD for 30 years. Easy to read, interactive in a semi-workbook way with great mirth to make things fun as well a

You should look at regularity. A-fib is irregularly irregular. If you were to use the calipers to measure between complexes they would not match up.

The nattle is correct; I am so proud (*tear); atrial fibrillation is the only irregular irregular rhythm on the face of the earth (my EEG excluded) I know I'm stating the obvious but atrial fibri

Outside of North America all Specialists are called a Consultant so you can stay north of the equator and work in Europe if you like

The first two post graduate years (House Officer/House Surgeon) is called so because rich people back in the days of old used to have a Doctor (Chiurgeon) at their house

Link to post
Share on other sites
  • 2 weeks later...

displays prettyy sawtooth waves on your ECG. A-fib is just chaotic. Sometimes its hard to pick up a-fib if there's alot of artifact (i.e patient movement). Theirs a books called basic EKG interpretation if memory serves me right published by walraven thats simply amazing. I got nothing lower than a 90 on any of my cardiac exams and it was the book we used for our cardiology section of our class

Link to post
Share on other sites

Ick! I hated Walraven's Basic Arrythmias, it is what was used for the Paramedic (ICO) modules when I did them, Dubin's ECG Interpretation is where its at .... shaaaaaaaaazam!!

OK I have no idea why that got put in there but I just wanted to say shaaaaaaaaaazam! like an old school 1980s African American movie character or something :D

Link to post
Share on other sites

I will admit though walraven sucks eggs explaining 12 Leads. For that you need to find a different book. But walraven is good for getting the basic understanding of the electrophysiology( I made a new word according to google chrome :D) of each arrhythmia and how to identify it.

bazinga

Link to post
Share on other sites
  • 1 month later...

You should look at regularity. A-fib is irregularly irregular. If you were to use the calipers to measure between complexes they would not match up.

I may be wrong, but I believe that a-flutter can (although not commonly) be irregular also, due to a variable conduction, so this is not always a reliable method of differentiating a-fib from flutter.

Link to post
Share on other sites

If you are able, eliminate the QRS complexes from the strip. This can be a bit of a mental challenge, but when you do it you will see the flutter (saw-tooth, picket fence, etc.) waves go through the QRS without being disrupted. Aflutter tends to be more regular due to the reduced rate of atrial stimuli going through the AV node, but that's not an absolute.

Link to post
Share on other sites

×
×
  • Create New...