Atrial flutter & Wolf-Parkinson White syndrome

Question 1

describe what atrial flutter is

Answer 1

atrial re-entry tachycardia, that results in rapid atrial rate

Question 2

describe what ‘flutter’ refers to

Answer 2

not all P waves make it to the ventricles, so the atria ‘flutter’

Question 3

what symptom(s) are seen in atrial flutter

Answer 3

palpitations

Question 4

describe the ECG of an atrial flutter patient

Answer 4

sawtooth(F waves) between QRS complexes, multiple P waves before each QRS,

Question 5

describe the pharmacological treatment for atrial flutter

Answer 5

class III antiarrythmics(amiodarone)

Question 6

describe the non-pharmacological treatment of atrial flutter

Answer 6

electrical cardioversion, radiofrequency ablation

Question 7

describe what Wolf- Parkinson White syndrome is

Answer 7

atrial re-entry tachycardia with an accessory excitatory pathway(bundle of Kent)

Question 8

what are the symptoms of Wolf-Parkinson white syndrome

Answer 8

palpitations, tachycardia

Question 9

describe what is seen on an ECG for Wolf-Parkinson White syndrome

Answer 9

short PR interval, sloping QRS complex

Question 10

describe the pharmacological treatment for Wolf-Parkinson White syndrome

Answer 10

beta blockers(e.g. bisoprolol) or CCBs(e.g. verapamil)

Question 11

what is involved in the non-pharmacological treatment for Wolf-Parkinson White syndrome

Answer 11

DCCV(direct current cardioversion), catheter ablation