A young male with Palpitations

A male aged 35 years after drinking 3 bottles of beer Chief Complaints Palpitations Restlessness (x 1 day)

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Atrial fibrillation St changes in L1 avl v5 appears to be nonspecific

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Obviously saw tooth appearance indicates ATRIAL FLUTTER Beta blockers like propanolol may help If condition deteriorates or pt becomes unconscious then electric cardioversion may require

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Saw tooth appearance sugg of atrial flutter.

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Holiday Syndrome! Atypical Atrial Flutter. Should resolve spontaneously. If not, may consider beta-blockers or non-dihydropiridine calcium channel blockers.

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LAD LAHB LVH with strain Atrial Flutter with 4:1 av conduction

Typical saw tooth-- A flutter. Beta blocker!

Atrial Flutter caused by alcohol intake.

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Atrial flutter

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Atrial flutter

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