Introduction
- Ventricular flutter is an extreme form of ventricular tachycardia (VT), with a loss of organised electrical activity
- It is usually associated with hemodynamic collapse
- It usually quickly degenerates to ventricular fibrillation
- It is generally caused by a reentry mechanism
ECG characteristics
- It is usually not possible to distinguish the P wave, QRS complex, ST segment and T wave.
- It has a rapid frequency at approximately 200-300/min
- It usually has a sinusoidal pattern
Management
- approach is equivalent to a patient with Ventricular fibrillation = DC version
ECG 1 Ventricular flutter with a rate of approximately 300/min, no distinguishable P waves, QRS complexes and T waves
References
- “Ventricular Fibrillation And Ventricular Flutter”. 2015. Ecg From Basics To Essentials, December, 305-310. https://doi.org/10.1002/9781119066446.ch16.
- Balemans, Wendy, Wim Van Hul, Marian Valko, Jan Moncol, Lee A. Denson, Maria Mela, Ulrich Thalheimer, et al. 2009. Encyclopedia Of Molecular Mechanisms Of Disease. https://doi.org/10.1007/978-3-540-29676-8_1829.
- https://litfl.com/ventricular-flutter-ecg-library/
- https://en.ecgpedia.org/wiki/Ventricular_Flutter
- https://www.radcliffecardiology.com/electrophysiology-arrhythmia/ventricular-arrhythmia/ventricular-flutter
Published by
Assoc. Prof. Michal Pazderník, MD, Ph.D. FESC
Introduction
- Ventricular flutter is an extreme form of ventricular tachycardia (VT), with a loss of organised electrical activity
- It is usually associated with hemodynamic collapse
- It usually quickly degenerates to ventricular fibrillation
- It is generally caused by a reentry mechanism
ECG characteristics
- It is usually not possible to distinguish the P wave, QRS complex, ST segment and T wave.
- It has a rapid frequency at approximately 200-300/min
- It usually has a sinusoidal pattern
Management
- approach is equivalent to a patient with Ventricular fibrillation = DC version
ECG 1 Ventricular flutter with a rate of approximately 300/min, no distinguishable P waves, QRS complexes and T waves
References
- “Ventricular Fibrillation And Ventricular Flutter”. 2015. Ecg From Basics To Essentials, December, 305-310. https://doi.org/10.1002/9781119066446.ch16.
- Balemans, Wendy, Wim Van Hul, Marian Valko, Jan Moncol, Lee A. Denson, Maria Mela, Ulrich Thalheimer, et al. 2009. Encyclopedia Of Molecular Mechanisms Of Disease. https://doi.org/10.1007/978-3-540-29676-8_1829.
- https://litfl.com/ventricular-flutter-ecg-library/
- https://en.ecgpedia.org/wiki/Ventricular_Flutter
- https://www.radcliffecardiology.com/electrophysiology-arrhythmia/ventricular-arrhythmia/ventricular-flutter
Published by
Assoc. Prof. Michal Pazderník, MD, Ph.D. FESC
