Atrial Flutter With 1:1 Atrioventricular Conduction and Profound Nonischemic ST Segment Depression
DOI:
https://doi.org/10.2015/hc.v6i3.402Keywords:
Atrial flutter, enhanced atrioventricular node conduction, nonischemic ST depressionAbstract
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.
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