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Grouped beating

Atrial Flutter With Variable Conduction

Tue, 11/04/2014 - 00:24 -- Dawn

This ECG provides an example of atrial flutter with variable conduction.  There are two distinct R - R intervals, making this a somewhat regularly-irregular  rhythm, as opposed to the irregular irregularity of atrial fibrillation.  The flutter waves (P waves) are very easy to see in most leads, but not in all.  If you are teaching students who are making the transition from reading monitors and rhythm strips to 12-lead ECGs, this is a great ECG to illustrate for them how the more leads you have, the more you will see.

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