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Atrial Flutter and Atrial Fibrillation Chapter 15

Atrial Flutter and Atrial Fibrillation Chapter 15

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Page 1: Atrial Flutter and Atrial Fibrillation Chapter 15

Atrial Flutter and Atrial FibrillationAtrial Flutter and Atrial Fibrillation

Chapter 15Chapter 15

Page 2: Atrial Flutter and Atrial Fibrillation Chapter 15

Introduction

• Atrial flutter and fibrillation

• tachycardias

• ectopic

Page 3: Atrial Flutter and Atrial Fibrillation Chapter 15

Introduction

• PVST

• atrial rate = 140-250 cycles /min

• Atrial flutter

• atrial rate = 250-350 cycles/min

• F waves

• “sawtooth” shape

• Atrial fibrillation

• atrial rate = 350-600 cycles/min

• f waves

Page 4: Atrial Flutter and Atrial Fibrillation Chapter 15

Atrial Flutter/Fibrillation

Page 5: Atrial Flutter and Atrial Fibrillation Chapter 15

Atrial Flutter

• Reentrant type arrhythmia

Page 6: Atrial Flutter and Atrial Fibrillation Chapter 15

Atrial Flutter

• Typical atrial rate is about 300 / min

Page 7: Atrial Flutter and Atrial Fibrillation Chapter 15

Atrial Flutter

• Ventricle rate is closer to 150, 100 or 75 beats/min

• 2:1, 3:1 and 4:1

Page 8: Atrial Flutter and Atrial Fibrillation Chapter 15

Atrial Flutter

• Causes

• Symptoms

• palpitations, light-headedness, syncope

• Formation of thrombi

Page 9: Atrial Flutter and Atrial Fibrillation Chapter 15

Atrial Flutter

• Treatment

• spontaneous

• oxygen treatment (hypoxemic patients)

• drugs (beta blocker, Ca channel blocker, digitalis, antiarrhythmia drug)

• synchronized electrical cardioversion

• pacing wire

• RF catheter ablation

Page 10: Atrial Flutter and Atrial Fibrillation Chapter 15

Atrial Fibrillation

• Atrial rate = 350-600• f waves

• course• fine

• Irregular ventricular rate• Multiple reentrant wavelets or multiple foci of

atrial activation

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Atrial Fibrillation

Page 12: Atrial Flutter and Atrial Fibrillation Chapter 15

Atrial Fibrillation

Page 13: Atrial Flutter and Atrial Fibrillation Chapter 15

Atrial Fibrillation

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Page 15: Atrial Flutter and Atrial Fibrillation Chapter 15

Atrial Fibrillation

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Atrial Fibrillation

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