Top
10
Doctor insights on: Calculating Atrial Rate

Share
1

1
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

2

2
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

See 1 more doctor answer
4

4
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

See 1 more doctor answer
5

5
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

See 1 more doctor answer
6

6
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

See 1 more doctor answer
7

7
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

8

8
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

See 1 more doctor answer
9

9
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

10

10
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