Atrial flutter physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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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
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.
HEENT
- Exophthalmos and neck swelling can be seen in hyperthyroidism.
Neck
- Neck examination of patients with atrial flutter is usually normal.
Lungs
- Pulmonary examination of patients with atrial flutter is usually normal.
Heart
- S3 may be heard in congestive heart failure.
- A mid-to-late systolic click is present, followed by a late 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.