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

Downloads

Additional Files

Published

2011-06-02

Issue

Vol. 6 No. 3 (2011)

Section

CASE REPORTS

License

Authors who publish with this journal agree to the following terms:

a. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

b. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

c. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).