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Ventricular Flutter by ECG Finding

MedGen UID:
817874
•Concept ID:
C3812283
•
Finding
Synonyms: Ventricular Flutter; Ventricular Flutter by EKG Finding

Definition

A ventricular tachyarrhythmia characterized by a high ventricular rate (180 and 250 beats per minute) with a regular rhythm. The electrocardiogram shows large oscillating sine wave-like complexes occurring as a result of QRS complexes and T waves being merged. The P wave is not visible. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVVentricular Flutter by ECG Finding

Professional guidelines

PubMed

Diagnosis and management of wide complex tachycardia in the emergency department.
Linton JJ, Eagles D, Green MS, Alchi S, Nemnom MJ, Stiell IG
CJEM 2022 Mar;24(2):174-184. Epub 2022 Jan 23 doi: 10.1007/s43678-021-00243-3. PMID: 35066789
Arrhythmias in Adult Congenital Heart Disease: Diagnosis and Management.
Kumar S, Tedrow UB, Triedman JK
Cardiol Clin 2015 Nov;33(4):571-88, viii. Epub 2015 Aug 21 doi: 10.1016/j.ccl.2015.07.007. PMID: 26471821
Dofetilide induced torsade de pointes: mechanism, risk factors and management strategies.
Jaiswal A, Goldbarg S
Indian Heart J 2014 Nov-Dec;66(6):640-8. Epub 2014 Jan 7 doi: 10.1016/j.ihj.2013.12.021. PMID: 25634399Free PMC Article

Recent clinical studies

Etiology

Anthracyclines and the risk of arrhythmias: A systematic review and meta-analysis.
Dean YE, Dahshan H, Motawea KR, Khalifa Z, Tanas Y, Rakha I, Hasan W, Kishk M, Mahmoud A, Elsayed A, Abdelkader O, Tokunaga A, Khalifa A, Helmy A, Elhalag RH, Farghaly RM, Abdelkader OKS, Shah J, Hakim D, Aiash H
Medicine (Baltimore) 2023 Nov 17;102(46):e35770. doi: 10.1097/MD.0000000000035770. PMID: 37986405Free PMC Article
Electrocardiographic manifestations of COVID-19.
Long B, Brady WJ, Bridwell RE, Ramzy M, Montrief T, Singh M, Gottlieb M
Am J Emerg Med 2021 Mar;41:96-103. Epub 2020 Dec 29 doi: 10.1016/j.ajem.2020.12.060. PMID: 33412365Free PMC Article
Electrocardiographic abnormalities and cardiac arrhythmias in chronic obstructive pulmonary disease.
Goudis CA, Konstantinidis AK, Ntalas IV, Korantzopoulos P
Int J Cardiol 2015 Nov 15;199:264-73. Epub 2015 Jul 4 doi: 10.1016/j.ijcard.2015.06.096. PMID: 26218181
Supraventricular and ventricular arrhythmias.
Goel R, Srivathsan K, Mookadam M
Prim Care 2013 Mar;40(1):43-71. doi: 10.1016/j.pop.2012.11.002. PMID: 23402461
Fetal dysrhythmias.
Api O, Carvalho JS
Best Pract Res Clin Obstet Gynaecol 2008 Feb;22(1):31-48. doi: 10.1016/j.bpobgyn.2008.01.001. PMID: 18243806

Diagnosis

Deep learning for comprehensive ECG annotation.
Teplitzky BA, McRoberts M, Ghanbari H
Heart Rhythm 2020 May;17(5 Pt B):881-888. doi: 10.1016/j.hrthm.2020.02.015. PMID: 32354454Free PMC Article
Fetal and Neonatal Arrhythmias.
Jaeggi E, Öhman A
Clin Perinatol 2016 Mar;43(1):99-112. doi: 10.1016/j.clp.2015.11.007. PMID: 26876124
Fetal dysrhythmias.
Api O, Carvalho JS
Best Pract Res Clin Obstet Gynaecol 2008 Feb;22(1):31-48. doi: 10.1016/j.bpobgyn.2008.01.001. PMID: 18243806
Pediatric dysrhythmias.
Doniger SJ, Sharieff GQ
Pediatr Clin North Am 2006 Feb;53(1):85-105, vi. doi: 10.1016/j.pcl.2005.10.004. PMID: 16487786
Fetal arrhythmias.
Meijboom EJ, van Engelen AD, van de Beek EW, Weijtens O, Lautenschutz JM, Benatar AA
Curr Opin Cardiol 1994 Jan;9(1):97-102. doi: 10.1097/00001573-199401000-00012. PMID: 8199375

Therapy

Anthracyclines and the risk of arrhythmias: A systematic review and meta-analysis.
Dean YE, Dahshan H, Motawea KR, Khalifa Z, Tanas Y, Rakha I, Hasan W, Kishk M, Mahmoud A, Elsayed A, Abdelkader O, Tokunaga A, Khalifa A, Helmy A, Elhalag RH, Farghaly RM, Abdelkader OKS, Shah J, Hakim D, Aiash H
Medicine (Baltimore) 2023 Nov 17;102(46):e35770. doi: 10.1097/MD.0000000000035770. PMID: 37986405Free PMC Article
Fetal and Neonatal Arrhythmias.
Jaeggi E, Öhman A
Clin Perinatol 2016 Mar;43(1):99-112. doi: 10.1016/j.clp.2015.11.007. PMID: 26876124
Supraventricular and ventricular arrhythmias.
Goel R, Srivathsan K, Mookadam M
Prim Care 2013 Mar;40(1):43-71. doi: 10.1016/j.pop.2012.11.002. PMID: 23402461
Pediatric dysrhythmias.
Doniger SJ, Sharieff GQ
Pediatr Clin North Am 2006 Feb;53(1):85-105, vi. doi: 10.1016/j.pcl.2005.10.004. PMID: 16487786
Fetal arrhythmias.
Meijboom EJ, van Engelen AD, van de Beek EW, Weijtens O, Lautenschutz JM, Benatar AA
Curr Opin Cardiol 1994 Jan;9(1):97-102. doi: 10.1097/00001573-199401000-00012. PMID: 8199375

Prognosis

Predicting peri-operative troponin elevation by advanced electrocardiography.
Sapra R, Hallqvist L, Schlegel TT, Ugander M, Bell M, Maanja M
J Electrocardiol 2021 Sep-Oct;68:1-5. Epub 2021 Jul 2 doi: 10.1016/j.jelectrocard.2021.06.008. PMID: 34246860
Deep learning for comprehensive ECG annotation.
Teplitzky BA, McRoberts M, Ghanbari H
Heart Rhythm 2020 May;17(5 Pt B):881-888. doi: 10.1016/j.hrthm.2020.02.015. PMID: 32354454Free PMC Article
Intra- and interatrial conduction abnormalities: hemodynamic and arrhythmic significance.
Johner N, Namdar M, Shah DC
J Interv Card Electrophysiol 2018 Aug;52(3):293-302. Epub 2018 Aug 20 doi: 10.1007/s10840-018-0413-4. PMID: 30128800
Electrocardiographic abnormalities and cardiac arrhythmias in chronic obstructive pulmonary disease.
Goudis CA, Konstantinidis AK, Ntalas IV, Korantzopoulos P
Int J Cardiol 2015 Nov 15;199:264-73. Epub 2015 Jul 4 doi: 10.1016/j.ijcard.2015.06.096. PMID: 26218181
Supraventricular and ventricular arrhythmias.
Goel R, Srivathsan K, Mookadam M
Prim Care 2013 Mar;40(1):43-71. doi: 10.1016/j.pop.2012.11.002. PMID: 23402461

Clinical prediction guides

Diagnostic Yield, Outcomes, and Resource Utilization With Different Ambulatory Electrocardiographic Monitoring Strategies.
Gupta N, Yang J, Reynolds K, Lenane J, Garcia E, Sung SH, Harrison TN, Solomon MD, Go AS; KP-RHYTHM Study Group
Am J Cardiol 2022 Mar 1;166:38-44. Epub 2021 Dec 23 doi: 10.1016/j.amjcard.2021.11.027. PMID: 34953575
Predicting peri-operative troponin elevation by advanced electrocardiography.
Sapra R, Hallqvist L, Schlegel TT, Ugander M, Bell M, Maanja M
J Electrocardiol 2021 Sep-Oct;68:1-5. Epub 2021 Jul 2 doi: 10.1016/j.jelectrocard.2021.06.008. PMID: 34246860
Deep learning for comprehensive ECG annotation.
Teplitzky BA, McRoberts M, Ghanbari H
Heart Rhythm 2020 May;17(5 Pt B):881-888. doi: 10.1016/j.hrthm.2020.02.015. PMID: 32354454Free PMC Article
Markov Models for Detection of Ventricular Arrhythmia.
Li Z, Derksen H, Gryak J, Hooshmand M, Wood A, Ghanbari H, Gunaratne P, Najarian K
Annu Int Conf IEEE Eng Med Biol Soc 2019 Jul;2019:1488-1491. doi: 10.1109/EMBC.2019.8856504. PMID: 31946175Free PMC Article
The clinical utility of entrainment pacing.
Deo R, Berger R
J Cardiovasc Electrophysiol 2009 Apr;20(4):466-70. Epub 2009 Jan 16 doi: 10.1111/j.1540-8167.2008.01409.x. PMID: 19207769

Recent systematic reviews

Are Pre-Hospitalization ECG Abnormalities Associated With Increased Mortality in COVID-19 Patients? A Quantitative Systematic Literature Review.
Askey D, Smith A
Ann Noninvasive Electrocardiol 2024 Nov;29(6):e70016. doi: 10.1111/anec.70016. PMID: 39394768Free PMC Article
Anthracyclines and the risk of arrhythmias: A systematic review and meta-analysis.
Dean YE, Dahshan H, Motawea KR, Khalifa Z, Tanas Y, Rakha I, Hasan W, Kishk M, Mahmoud A, Elsayed A, Abdelkader O, Tokunaga A, Khalifa A, Helmy A, Elhalag RH, Farghaly RM, Abdelkader OKS, Shah J, Hakim D, Aiash H
Medicine (Baltimore) 2023 Nov 17;102(46):e35770. doi: 10.1097/MD.0000000000035770. PMID: 37986405Free PMC Article
The association of cannabis use and cardiac dysrhythmias: a systematic review.
Richards JR, Blohm E, Toles KA, Jarman AF, Ely DF, Elder JW
Clin Toxicol (Phila) 2020 Sep;58(9):861-869. Epub 2020 Apr 8 doi: 10.1080/15563650.2020.1743847. PMID: 32267189
Electrocardiographic abnormalities in Chagas disease in the general population: A systematic review and meta-analysis.
Rojas LZ, Glisic M, Pletsch-Borba L, Echeverría LE, Bramer WM, Bano A, Stringa N, Zaciragic A, Kraja B, Asllanaj E, Chowdhury R, Morillo CA, Rueda-Ochoa OL, Franco OH, Muka T
PLoS Negl Trop Dis 2018 Jun;12(6):e0006567. Epub 2018 Jun 13 doi: 10.1371/journal.pntd.0006567. PMID: 29897909Free PMC Article
Chronic Arrhythmias in the Setting of Heterotaxy: Differences between Right and Left Isomerism.
Loomba RS, Willes RJ, Kovach JR, Anderson RH
Congenit Heart Dis 2016 Jan-Feb;11(1):7-18. Epub 2015 Jul 29 doi: 10.1111/chd.12288. PMID: 26219620

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