Question

Rate: bpm Rhythm: Regular or Irregular sec PR interval: sec QRS interval: Identify this rhythm: Possible causes: Medical Treatment: 3. (10-points) الام الا لما Rate: bpm Rhythm: Regular or Irregular Identify this rhythm: Possible causes: Medical Treatment:

Answer 1

#. It is atrial flutter

Occurs when a rapid impulse originates in the atrial tissue

#. Rhythm

P-P interval or flutter-flutter waves will be regular. R-R interval is usually irregular, but occasionally it may be regular

#. Rate = number of R waves ×10

= 13×10= 130bpm

#. Causes are :-

- coronary heart disease

- atrial dilation

- open heart surgery

- hypertension

- COPD

- thyrotoxicosis

- obesity

#. Treatment are :-

- beta blockers

- synchronized cardioversion

- calcium channel blockers

- drug of choice is ibutilide

- procainamide

- surgical ablation

- adenosine

- amidarone