Atrial Flutter With 1:1 Atrioventricular Conduction and Profound Nonischemic ST Segment Depression

Authors

  • Sokratis Pastromas First Department of Cardiology, Evagelismos Hospital, Athens, Greece
  • Dimitris Sakellariou First Department of Cardiology, Evagelismos Hospital, Athens, Greece
  • Spyridon Koulouris First Department of Cardiology, Evagelismos Hospital, Athens, Greece
  • Konstantinos Kappos First Department of Cardiology, Evagelismos Hospital, Athens, Greece
  • Antonis S Manolis First Department of Cardiology, Evagelismos Hospital, Athens, Greece

DOI:

https://doi.org/10.2015/hc.v6i3.402

Keywords:

Atrial flutter, enhanced atrioventricular node conduction, nonischemic ST depression

Abstract

A 60-year-old lady presented to the emergency room with breathlessness, palpitations, dizziness and hypotension. The ECG showed narrow QRS complex tachycardia at a rate of 300 beats/min and downsloping ST segment depression. Following intravenous administration of adenosine, atrial flutter was confirmed and due to hemodynamic instability a direct current shock was delivered which restored sinus rhythm. The causes of such rapid ventricular rates in atrial flutter are discussed a propos with this case report.

Author Biography

Sokratis Pastromas, First Department of Cardiology, Evagelismos Hospital, Athens, Greece

Cardiology

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Published

2011-06-02

Issue

Section

CASE REPORTS