Atrial flutter physical examination
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Atrial flutter Microchapters |
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Diagnosis |
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Treatment |
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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.