A 75 year old hypertensive male with weeks of dizziness. He enters the hospital for congestive heart failure. ECG is attached. Whats diagnosis?

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1) Atrial flutter with variable conduction. Or 2) Atrial flutter alternating with Afib.

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Atrial fibrillation with VR of around 100.Look for associated fever, anaemia, HTN, infection,LVEF. Anticoagulation ,TEE

AF

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Af

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Atrial fibrillation

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A.fib

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Atriall fibrillation

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Af cvr

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Atrial fibrillation.

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AF

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