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Doctor insights on: Atrial Rate

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How do you calculate the atrial rate in atrial flutter since it is fast?

How do you calculate the atrial rate in atrial flutter since it is fast?

300 bpm: By looking at the p-waves ( atrial electrical conduction) however in atrial flutter this almost always 300 bpm. ...Read more

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ECG Result: Vent Rate 115, Atrial Rate 115, P-RInt 128ms, QRS dur 096ms, QTint 326ms, P-R-T Axes 068 081-01 degrees, QTc Int 450ms. Anything abnormal?

ECG Result: Vent Rate 115, Atrial Rate 115, P-RInt 128ms, QRS dur 096ms, QTint 326ms, P-R-T Axes 068 081-01 degrees, QTc Int 450ms. Anything abnormal?

Tachycardia: The ekg demonstrates sinus tachycardia as the normal resting heart rate should be less than 90. In addition the qtc interval appears prolonged but the regular qt interval is within normal range. There is no description of morphology in this report and I wonder what the overall conclusion by the ekg reader was. Have a cardiologist read the ekg for you. ...Read more

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Atrial flutter on an EKG does not have a p wave, so how does one calculate the atrial rate?

Atrial flutter on an EKG does not have a p wave, so how does one calculate the atrial rate?

Actually, it does: The p wave reflects activation of the atria (upper chambers), but in atrial flutter, the atria activity is reflected in a "sawtooth" pattern ripping along at about 300 beats per minute, which also represents the atrial activation but from another source and conduction pattern. The important clinical item is the ventricular rate, dependent on the av node which is the controlling "relay station". ...Read more

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How much rate atrial fibrillation with slow ventricular ?

How much rate atrial fibrillation with slow ventricular ?

Usually < 60-70: Most people, left untreated, have rates between 70 and 150. It's a bit unusual to fall below that without drugs or other treatment. ...Read more

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If you have atrial fib, heart rate in the low 50's and 'up and down' blood pressure, should you seek help or wait it out?

If you have atrial fib, heart rate in the low 50's and 'up and down' blood pressure, should you seek help or wait it out?

Need to call the doc: Depend on what symptoms are you having. The heart rate on 50 beats per minutes and variable blood pressure might be even expected in someone with atrial fibrillation. It is important to check with your doctor. Bring your medications. Include any supplements, vitamins or over the counter meds. Changes in blood pressure and pulse might relate to other problems or changes in your heart. Call your doc. ...Read more

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I have a pacemaker for bradycardia but over the past two months my pacemaker has been reading a high rate of atrial tachycardia should I be worried?

I have a pacemaker for bradycardia but over the past two months my pacemaker has been reading a high rate of atrial tachycardia should I be worried?

Monitor: To know what your pacemaker is recording, you must be seeing your doctor to have the device interrogated. You should ask your doctor the meaning of the rhythms that the device is recording and whether anything else is needed. ...Read more

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Slow heart rate, premature atrial contractions, are they connected?

Slow heart rate, premature atrial contractions, are they connected?

AV Block?: Yes, it is very possible that the slow rate of ventricular contractions cannot keep up with a faster atrial contraction rate. It is an a-v block. ...Read more

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What is the success rate for the "firm" procedure for atrial fibrillation and are there any additional risks having it done over a normal ablation

What is the success rate for the "firm" procedure for atrial fibrillation and are there any additional risks having it done over a normal ablation

Alternate technique: My understanding is that FIRM (focal impulse and rotor modulation) ablation is, perhaps, a more advanced ablation system using a very sophisticated catheter that, purportedly, maps locations/rotors that seemingly could trigger & sustain AF. Success up to 80% in controlling AF for 2 years is reported, better than with standard ablation. Risks should be similar. Careful case selection is important! ...Read more

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What is the success rate of ablation of atrial tachycardia?

What is the success rate of ablation of atrial tachycardia?

Great question: It's variable depending on location (left vs right sided). Talk to the electrophysiologist who would perform to get best information specific. ...Read more

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I have atrial fibrillation for a couple of hours each month should I ask my doctor for rate control drugs-there seems to be different opinions.Thanks?

I have atrial fibrillation for a couple of hours each month should I ask my doctor for rate control drugs-there seems to be different opinions.Thanks?

Lots of options: You're correct, there are a lot of options, and a lot of it comes down to your preferences and discussions with your doctor. For atrial fibrillation we think of three things: minimizing risk of stroke with anticoagulation, controlling the heart rate, and managing symptoms. If you are feeling ok, a few hours a month of afib symptoms could be ok and may not necessarily need a change in strategy. ...Read more

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I had done ecg.my pulse rate is 120. Fast pulse rate .they suspect left atrial enlargement. 2nd time ecg done. Only fast pulse rate found.im pregnent.

I had done ecg.my pulse rate is 120. Fast pulse rate .they suspect left atrial enlargement. 2nd time ecg done. Only fast pulse rate found.im pregnent.

May be physiologic: Since a large left atrium is suspect have your physician have you see a cardiologist. WE call this a tachycardia but it may be normal depending on you physical status. Your evaluation will clarify the situation. ...Read more

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Can atrial tachycardia start all of a sudden or have i had it all my life or can someone just develop a fast heart rate i'm f 30 no history of heart?

Can atrial tachycardia start all of a sudden or have i had it all my life or can someone just develop a fast heart rate i'm f 30 no history of heart?

It can start suddenl: It is unlikely that you had it all your life without a doctor noticing it and without you knowing it. ...Read more

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Can you have atrial fibrillation with a slow heart rate 60-100?

Yes: atrial fibrillation is when the atrium is beating not in coordination with the ventricle. It beats around 200 beats a minute. If the ventricular rate is controlled it beats 60-100 beats a minute. Since the are not synchronized there is a higher risk of blood clots in the heart which then can be thrown to the brain causing a stroke.n that is why we use blood thinners. ...Read more

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If I have a history of atrial fibrillation and tachycardia is it bad that my heart rate has been 144 all day?

If I have a history of atrial fibrillation and tachycardia is it bad that my heart rate has been 144 all day?

Yes.: If the heart rate is elevated for prolonged periods of time, there is a risk for tachycardia-induced cardiomyopathy - or weakening of the heart from rapid heart rates. This is usually reversible once the heart rate is corrected. You should see your cardiologist for evaluation. ...Read more

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Atrial fib with aberrancy during stess test with rate over 200. What does it mean and what is recommended treatment? digoxin and to repeat test. Next?

Atrial fib with aberrancy during stess test with rate over 200. What does it mean and what is recommended treatment? digoxin and to repeat test. Next?

Cardiology: If you are back to sinus rhythm after stress test would suggest a Holter monitor or a cardiac event monitor in order to understand if this is a paroxysmal recurrent type of arrhythmia. Would not treat yet, unless you remained in atrial fibrillation with rapid ventricular response. Ultimately a cardio consult, ideally by a cardiologist specializing in electrophysiology/ arrhythmia will be required. ...Read more

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My cardiologist thinks i've got atrial tachycardia seeing him in a week to confirm this, i've had fast heart rate since july , can it damage the heart?

Rapid heart rate: There are a variety of different types of atrial tachycardia, and the treatment (and after effects) depend on the cause. But having a rapid heart rate (up to 160 beats per minute) by itself does not usually cause any harm to the heart, especially in a young person whose heart is otherwise healthy. ...Read more

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Can the flow rate on a IV line cause atrial fribulation, which in turn weaken the heart muscle, create clots and flood the lungs.

Can the flow rate on a IV line cause atrial fribulation, which in turn weaken the heart  muscle, create clots and flood the lungs.

IV fluid: Fluid is given through an "IV" (a little tube inserted into a vein) for many reasons: to treat dehydration, to give medicines, & to maintain fluid balance when patients aren't drinking. In some patients if too much fluid is given too quickly it can cause problems including with the lungs. For a detailed review of a particular patient problem, ask a doctor through an inbox consult on HealthTap. ...Read more