A member asked:

What is the ecg finding for an atrial fibrillation and atrial flutter?

4 doctors weighed in across 2 answers

Fib/flutter waves: There are small waves from the atrial activity on 12-lead ecg. Normally these are single, well defined P waves during sinus rhythm. For flutter, they are rapid and regular, often with a "sawtooth" pattern. For fib, the atrial activity is very random, irregular, and sometimes hard to see. Atypical flutter can be hard to distinguish from "coarse" af by ecg.

Answered 5/5/2016

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Dr. John Garner answered

Specializes in Cardiology

This: In atrial fibrillation, there are no P waves seen, or the P waves are highly irregular and not directly correlated with the qrs complexes. In atrial flutter constant, regularized activity is seen, generally without a fixed baseline.

Answered 1/28/2017

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