(FIT)-Module 4 Workshop 6: Electrocardiographic and Electrophysiological Correlations-Poole Case 9 Answer

Video Transcription

Video Summary

The speaker discusses an atrial flutter with aberrant conduction, identifying it as a classic atrial arrhythmia linked with class 1c drugs. The organization of atrial fibrillation to flutter can promote one-to-one conduction, causing QRS aberrancy. The recommended initial treatment is to slow the heart rate by increasing AV conduction delay. Other options like IV procainamide or DC cardioversion are less suitable due to potential adverse effects and recent eating, respectively. The ECG does not suggest acute coronary syndrome. This discussion is part of a workshop aimed at helping with board exams.

Keywords

atrial flutter

aberrant conduction

class 1c drugs

QRS aberrancy

AV conduction delay