How do you calculate atrial rate?

To determine atrial rate, count the number of P waves in 6 seconds and multiply by 10 . To determine the ventricular rate, count the number of QRS complexes in 6 seconds and multiply by 10. Rates greater than 100 beats per minute (bpm) are considered tachycardia. Rates slower than 60 bpm are considered bradycardia.

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How is atrial flutter measured?

The degree of blocking in the atrioventricular node is specified by counting the number of flutter waves preceding each QRS complex . If 3 flutter waves occur before each QRS complex then it is 3:1 block. If there are 2 flutter waves before each QRS complex then it is 2:1 block.

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Are there P waves in a flutter?

This is because the P waves (flutter waves) in atrial flutter occur at about 250-350 per minute (usually around 300) . At this rate, it can appear that there is a P wave in front of each QRS and a T wave after each QRS. This causes the misdiagnosis of sinus tachycardia or SVT.

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