The whole p-wave being hidden behind the QRS was so helpful. I was racking my brains as to why what looked like 3:1 was described as 4:1 etc and within less than a minute of your video I got the answer. Thanks.
OH My Lord! Thank you for explaining the hidden P wave! I could not understand how they got a certain ratio because I only saw the obvious ones. This was such a huge help!
Rhythm - Regular Rate - Around 110 beats per minute QRS Duration - Usually normal P Wave - Replaced with multiple F (flutter) waves, usually at a ratio of 2:1 (2F - 1QRS) but sometimes 3:1 P Wave rate - 300 beats per minute P-R Interval - Not measurable As with SVT the abnormal tissue generating the rapid heart rate is also in the atria, however, the atrioventricular node is not involved in this case.
Hi cnickyxoxo1, If you look at the distance between the flutter waves you'll notice that they are equadistant. When you get to a QRS you notice that the flutter wave dissapears from view. That's simply because the QRS (depolarization of the ventricles) is a more prominent signal. Consequently we simply can't see the flutter wave at this point because the signal from the QRS obscures our view of the flutter wave. Hope that helps? cheers, Rob Theriault
Would the kardiamobile device be sensitive enough to detect the flutter in between the man pulses as described in this video. My spouse has been diagnosed with atrial flutter. I would like to be able to home monitor this but it's not clear to me the kadia unit would be able to display the flutter on the graph. Atrial fibrillation is mentioned but not atrial flutter. Thank you.
In a 3:1, will the third Arial contraction peak also be buried in the QRS peak? Would we also see a buried peak in the 2:1? Or is the buried peak just a feature of the 4:1? If the buried peak is only a feature of the 4:1, how do you distinguish between a 4:1 and 3:1? Heart sounds? Or is it possible to look at the ECG?
hey man nice video about about atrial flutter but im having truble figureing out the difference between atrial flutter and atrial fibrillation on a ekg
Ahmad Khreisat, Hi, my workbooks are available from Amazon. Makes sure you don’t pay any more than about $16 US dollars per book. There are third party sellers who will sell them at a higher price, so beware.
The whole p-wave being hidden behind the QRS was so helpful. I was racking my brains as to why what looked like 3:1 was described as 4:1 etc and within less than a minute of your video I got the answer. Thanks.
SAME
OH My Lord! Thank you for explaining the hidden P wave! I could not understand how they got a certain ratio because I only saw the obvious ones. This was such a huge help!
Rhythm - Regular
Rate - Around 110 beats per minute
QRS Duration - Usually normal
P Wave - Replaced with multiple F (flutter) waves, usually at a ratio of 2:1 (2F - 1QRS) but sometimes 3:1
P Wave rate - 300 beats per minute
P-R Interval - Not measurable
As with SVT the abnormal tissue generating the rapid heart rate is also in the atria, however, the atrioventricular node is not involved in this case.
ECG is easy for me now after watching your videos.
american girl Awesome to hear they were helpful!
Such a short video with such a great explanation! Thanks!
Thanks Camille, glad it was helpful!
Rob thank you so much for posting these videos! They are so helpful especially since I'm just starting my job at a cardiac telemetry unit
You are literally my saviour, thank you a lot!!!
Glad they've been helpful!
You can be dealing with artifact or coarse Atrial fibrillation, if the distance between the P waves are less than 4 mm
Hi cnickyxoxo1,
If you look at the distance between the flutter waves you'll notice that they are equadistant. When you get to a QRS you notice that the flutter wave dissapears from view. That's simply because the QRS (depolarization of the ventricles) is a more prominent signal. Consequently we simply can't see the flutter wave at this point because the signal from the QRS obscures our view of the flutter wave.
Hope that helps?
cheers, Rob Theriault
I was going to ask you that; why is it bured? so thanks!
Would the kardiamobile device be sensitive enough to detect the flutter in between the man pulses as described in this video. My spouse has been diagnosed with atrial flutter. I would like to be able to home monitor this but it's not clear to me the kadia unit would be able to display the flutter on the graph. Atrial fibrillation is mentioned but not atrial flutter. Thank you.
Hey. Thanks so much for your videos. I've watched all of them. They are super helpful in preparing for Nclex. :)
Thanks ! I'm so glad they were helpful!!!
In a 3:1, will the third Arial contraction peak also be buried in the QRS peak? Would we also see a buried peak in the 2:1? Or is the buried peak just a feature of the 4:1? If the buried peak is only a feature of the 4:1, how do you distinguish between a 4:1 and 3:1? Heart sounds? Or is it possible to look at the ECG?
hey man nice video about about atrial flutter but im having truble figureing out the difference between atrial flutter and atrial fibrillation on a ekg
I love your explanation
How can I get the workbook that you are talking about?
Ahmad Khreisat, Hi, my workbooks are available from Amazon. Makes sure you don’t pay any more than about $16 US dollars per book. There are third party sellers who will sell them at a higher price, so beware.
Ohhh my Goddess! I do not understand english 😭😭😭😭
What about T wave
Yes the morphology is altered by a flutter wave.
Thanks :)