Atrial flutter physical examination: Difference between revisions

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{{Atrial flutter}}
{{Atrial flutter}}
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==Overview==
==Overview==
The patient should first be assessed for hemodynamic instability.  The patient should also be examined for the presence of reversible causes of atrial flutter.
[[Physical examination]] of patients with atrial flutter may reveal tachycardia, [[hypotension]], [[diaphoresis]], and evidence of [[congestive heart failure]]. Occasionally, [[cardiac auscultation]] may reveal an irregular rhythm, abnormal valve sounds, or a [[Gallop rhythm|gallop]].  


==Physical Examination==
==Physical Examination==
===Vitals===
[[Physical examination]] of patients with atrial flutter may reveal tachycardia, [[hypotension]], [[diaphoresis]], and evidence of [[congestive heart failure]]. Occasionally, [[cardiac auscultation]] may reveal an irregular rhythm, abnormal valve sounds, or a [[Gallop rhythm|gallop]].<ref name="pmid4698205">{{cite journal |vauthors=Wills RA |title=As a factor influencing patron retention |journal=J Am Pharm Assoc |volume=13 |issue=5 |pages=262–3 |date=May 1973 |pmid=4698205 |doi=10.1016/s0003-0465(16)32574-5 |url=}}</ref><ref name="pmid5522718">{{cite journal |vauthors=Apgar V |title=Genetic counseling. Remarks of moderator. Afternoon session |journal=Birth Defects Orig. Artic. Ser. |volume=6 |issue=1 |pages=41 |date=May 1970 |pmid=5522718 |doi= |url=}}</ref>
====Temperature====
 
[[Fever]] may be present.
===Appearance of the Patient===
*Patients with atrial flutter usually appear normal.
 
===Vital Signs===
*[[Tachycardia]] with regular pulse or irregular pulse
*Low [[blood pressure]] with normal pulse pressure
 
===Skin===
* Skin examination of patients with atrial flutter is usually normal.


====Pulse====
===HEENT===
Pulse is usually rapid and may be regular or irregular.  Ventricular rate is around 150 beats per minute because of 2:1 conduction.  1:1 ventricular conduction is fatal.
*[[Exophthalmos]] and neck swelling can be seen in [[hyperthyroidism]].


====Blood pressure====
===Neck===
[[Hypertension]] may be present.
* Neck examination of patients with atrial flutter is usually normal.


===Head and Neck===
===Lungs===
[[Exophthalmos]] and neck swelling can be seen in [[hyperthyroidism]].
*[[Rales]] or [[crackles]] may be present.


===Heart===
===Heart===
====Auscultation====
*S3 may be heard in [[congestive heart failure]].
[[Heart sounds#Third heart sound S3|S3]] may be heard in congestive heart failure. A mid-to-late systolic click is present, followed by a late systolic [[heart sounds|murmur]] which is best heard at the cardiac apex is observed in [[mitral valve prolapse]].  Similarly a holosystolic murmur is heard in mitral regurgitation due to rheumatic heart disease.  
*A mid-to-late [[Systolic click—murmur syndrome|systolic click]] is present, followed by a late [[Systolic murmurs|systolic murmur]] which is best heard at the [[cardiac apex]] is observed in mitral valve prolapse.
*[[Holosystolic murmur]] is heard in [[mitral regurgitation]] due to [[rheumatic heart disease]].
 
===Abdomen===
* Abdominal examination of patients with atrial flutter is usually normal.
 
===Back===
* Back examination of patients with atrial flutter is usually normal.
 
===Genitourinary===
*[[Genitourinary]] examination of patients with atrial flutter is usually normal.
 
===Neuromuscular===
*[[Neuromuscular]] examination of patients with atrial flutter is usually normal.
 
===Extremities===
*[[Extremities]] examination of patients with atrial flutter is usually normal.


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
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[[Category:Electrophysiology]]
[[Category:Disease]]
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Latest revision as of 18:24, 16 March 2020

Atrial flutter Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Atrial flutter from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

EKG Examples

Chest X Ray

Echocardiography

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

2015 ACC/AHA Guideline Recommendations

Acute Treatment of Atrial Flutter
Ongoing Management of Atrial Flutter

Surgery

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Secondary Prevention

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Future or Investigational Therapies

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Case #1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Farima Kahe M.D. [2]

Overview

Physical examination of patients with atrial flutter may reveal tachycardia, hypotension, diaphoresis, and evidence of congestive heart failure. Occasionally, cardiac auscultation may reveal an irregular rhythm, abnormal valve sounds, or a gallop.

Physical Examination

Physical examination of patients with atrial flutter may reveal tachycardia, hypotension, diaphoresis, and evidence of congestive heart failure. Occasionally, cardiac auscultation may reveal an irregular rhythm, abnormal valve sounds, or a gallop.[1][2]

Appearance of the Patient

  • Patients with atrial flutter usually appear normal.

Vital Signs

Skin

  • Skin examination of patients with atrial flutter is usually normal.

HEENT

Neck

  • Neck examination of patients with atrial flutter is usually normal.

Lungs

Heart

Abdomen

  • Abdominal examination of patients with atrial flutter is usually normal.

Back

  • Back examination of patients with atrial flutter is usually normal.

Genitourinary

  • Genitourinary examination of patients with atrial flutter is usually normal.

Neuromuscular

  • Neuromuscular examination of patients with atrial flutter is usually normal.

Extremities

  • Extremities examination of patients with atrial flutter is usually normal.

References

  1. Wills RA (May 1973). "As a factor influencing patron retention". J Am Pharm Assoc. 13 (5): 262–3. doi:10.1016/s0003-0465(16)32574-5. PMID 4698205.
  2. Apgar V (May 1970). "Genetic counseling. Remarks of moderator. Afternoon session". Birth Defects Orig. Artic. Ser. 6 (1): 41. PMID 5522718.

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