Why the study?
Atrial flutter with 1:1 atrioventricular conduction is a rare cause of wide complex tachycardia that presents a diagnostic challenge.
Atrial flutter with 1:1 AV conduction can occur without class 1 anti-arrhythmics or pre-excitation and is frequently misdiagnosed as ventricular tachycardia by standard Brugada and Vereckei ECG criteria.
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1:1 flutter warrants consideration in wide-complex tachycardia even without class I drugs or pre-excitation; extends sparse case descriptions but leaves management questions open.
Atrial flutter with 1:1 atrioventricular conduction is a rare cause of wide complex tachycardia, which presents a diagnostic challenge. This report describes a series of eight cases of 1:1 atrial flutter compiled during 2018-2022. The cases in this report include patients without class 1 anti-arrhythmic use or pre-excitation.
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Snipes et al. (2024) studied this question.
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