Abstract：
Atrial flutter is a supraventricular cardiac arrhythmia commonly characterized by two or three rapid atrial contractions for every ventricular contraction and a rapid ventricular rate that can be identified by a sawtooth pattern on an electrocardiogram. Patients often present with symptoms of heart failure and face the risk of atrial thrombus with a potential for systemic embolization. As such, pharmacologic rate and rhythm control, transesophageal echocardiogram, direct current cardioversion, and anticoagulation therapies may all be required for patient management. This case study provides an example of the patient presentation, exam findings, diagnostic results, and intervention modalities required for the health care provider to manage atrial flutter correctly in the emergency department setting.
摘要：
房扑是一种室上性心律失常，通常表现为每次心室收缩两次或三次快速心房收缩和快速心室率，可通过心电图上的锯齿模式识别。患者通常表现为心力衰竭症状，并面临心房血栓的风险，并有可能进行全身性栓塞。因此，药理作用率和节律控制，经食管超声心动图,直流电复律,抗凝治疗可能都需要患者管理。本案例研究提供了患者表现的一个例子，考试结果,诊断结果,以及在急诊科设置中医疗保健提供者正确管理房扑所需的干预方式。
