Congenital Atrial Flutter: Report of a Case Documented by Intra-uterine Electrocardiogram

PEDIATRICS ◽  
1968 ◽  
Vol 41 (3) ◽  
pp. 659-661
Author(s):  
Sidney Blumenthal ◽  
Jerry C. Jacobs ◽  
Charles M. Steer ◽  
Susan W. Williamson
Keyword(s):  
Heart Disease ◽  
Sinus Rhythm ◽  
Atrial Flutter ◽  
Newborn Infant ◽  
Normal Sinus Rhythm ◽  
Newborn Infants ◽  
In Utero ◽  
Good Prognosis ◽  
Normal Sinus

A newborn infant shown to have atrial flutter in utero and after delivery was successfully converted to normal sinus rhythm with intramuscular digoxin. He remains well at 2 years of age. This is the first patient to be reported in whom atrial flutter was demonstrated by intra-uterine electrocardiography. This arrhythmia, when present in newborn infants without other signs of heart disease, has a good prognosis.

scholarly journals TREMORS MIMICKING ATRIAL FLUTTER IN AN ELDERLY LADY

2022 ◽  
Vol 54 (4) ◽  
pp. 370-372
Author(s):  
Intisar Ahmed ◽  
Hunaina Shahab ◽  
Aamir Hameed Khan
Keyword(s):  
Chest Pain ◽  
Sinus Rhythm ◽  
Hospital Stay ◽  
Atrial Flutter ◽  
Normal Sinus Rhythm ◽  
Correct Diagnosis ◽  
Normal Sinus ◽  
Inappropriate Treatment ◽  
History Of

A 77 -year-old lady with history of hypertension and Parkinson`s disease was admitted with cough and fever and diagnosed as pneumonia. On second day of admission, she started having chest pain, initial ECG was interpreted as atrial flutter. When her ECG was reviewed by a cardiologist, ECG features were found to be consistent with artifacts due to tremors. A repeat 12 leads ECG clearly demonstrated normal sinus rhythm and the patient remained completely asymptomatic throughout the hospital stay. Tremor induced artifacts can be mistaken for arrhythmias. Correct diagnosis is important, in order to avoid inappropriate treatment and unnecessary interventions.

Hemodynamics in atrial flutter with spontaneous reversion to normal sinus rhythm

1957 ◽  
Vol 53 (5) ◽  
pp. 680-686 ◽  
Author(s):  
Peter R. Mahrer ◽  
Thomas Killip ◽  
Daniel S. Lukas
Keyword(s):  
Sinus Rhythm ◽  
Atrial Flutter ◽  
Normal Sinus Rhythm ◽  
Normal Sinus ◽  
Spontaneous Reversion

Conversion to Normal Sinus Rhythm by Propofol during Electrical Cardioversion in Atrial Flutter and Idiopathic Ventricular Tarchycardia

2002 ◽  
Vol 42 (2) ◽  
pp. 245
Author(s):  
Tae Jung Kim ◽  
Jeong Uk Han ◽  
Chong kweon Chung ◽  
Yi Hoe Heo ◽  
Sung Keum Lee ◽  
...  
Keyword(s):  
Sinus Rhythm ◽  
Atrial Flutter ◽  
Normal Sinus Rhythm ◽  
Electrical Cardioversion ◽  
Normal Sinus

scholarly journals Syncope triggered by atrial flutter in a patient with a pacemaker: cross-stimulation—a case report

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Olga Durán-Bobin ◽  
Francisco Crespo-Mancebo ◽  
Juliana Elices-Teja ◽  
Carlos González-Juanatey
Keyword(s):  
Sinus Rhythm ◽  
Atrial Flutter ◽  
Normal Sinus Rhythm ◽  
Pacemaker Implantation ◽  
P Waves ◽  
Normal Sinus ◽  
Surface Ecg ◽  
Patient Reported ◽  
Chest X Ray ◽  
High Degree

Abstract Background Syncope in a patient with a pacemaker is a serious event requiring urgent action to ascertain its cause. Around 5% of cases are due to a pacemaker system malfunction. Case summary An 82-year-old man underwent dual-chamber permanent pacemaker implantation due to intermittent high-degree atrioventricular block (AVB) in sinus rhythm. Nine months later, the patient reported episodes of syncope. The chest X-ray showed both leads to be at their expected positions. The electrocardiography (ECG) showed common atrial flutter. Ventricular capture during pacing in atrial demand pacing (AAI) mode confirmed cross-stimulation due to the switching of the atrial and ventricular leads at the pacemaker header. Discussion Cross-stimulation is a rare possibility in a differential diagnosis of causes of syncope. The diagnosis is frequently made during the procedure or a few hours later. The lack of symptoms during 9 months in this case was likely due to the patient having normal sinus rhythm with preserved AV conduction most of the time, as well as ventricular capture from the atrial lead related to non-sensed P waves. When atrial arrhythmias occurred, the sensing of the F waves inhibited ventricular pacing. In order to avoid this complication, in patients with intermittent bradycardia, pacing at a slightly higher heart rate during implantation of the device should be recommended to see the chamber paced with the surface ECG connected to the device interrogator. The ECG and electrogram (EGM) should correlate during device interrogation in order to identify this complication.)

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