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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?

Atrial Tachy (AT): It depends on the frequency/duration of the at. Infrequent episodes - follow or treat with meds - av nodal or antiarrhythmic drugs. Frequent episodes consider ablation if meds fail. Sometimes difficult to induce at ep study and cannot ablate due to need to MAP out the arrhythmia. Success rates in the area of 70-80% if frequent and not multifocal - coming from multiple areas. Ep md. ...Read more

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