Atrial flutter physical examination

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Atrial flutter Microchapters

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Patient Information

Overview

Historical Perspective

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Pathophysiology

Causes

Differentiating Atrial flutter from other Diseases

Epidemiology and Demographics

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Acute Treatment of Atrial Flutter
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Case #1

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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

Vitals

Temperature

Fever may be present.

Pulse

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.

Blood pressure

Hypertension may be present.

Head and Neck

Exophthalmos and neck swelling can be seen in hyperthyroidism.

Heart

Auscultation

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. Similarly a holosystolic murmur is heard in mitral regurgitation due to rheumatic heart disease.

References


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