{"id":3371,"date":"2009-10-27T01:17:50","date_gmt":"2009-10-27T01:17:50","guid":{"rendered":"http:\/\/cardiophile.org\/?p=3371"},"modified":"2023-11-24T09:52:15","modified_gmt":"2023-11-24T04:22:15","slug":"atrial-flutter-in-mitral-stenosis","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/atrial-flutter-in-mitral-stenosis\/","title":{"rendered":"Atrial flutter in mitral stenosis"},"content":{"rendered":"<p><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/-9iKdYqZWbk?si=280uIMXYTP4L0WyW\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen><\/iframe><\/p>\n<h2><span style=\"color: #008000;\">Atrial flutter in mitral stenosis<\/span><\/h2>\n<figure id=\"attachment_37363\" aria-describedby=\"caption-attachment-37363\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-37363\" src=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2009\/10\/Atrial-flutter-in-mitral-stenosis.png\" alt=\"Atrial flutter in mitral stenosis\" width=\"1200\" height=\"1142\" \/><figcaption id=\"caption-attachment-37363\" class=\"wp-caption-text\">Atrial flutter in mitral stenosis<\/figcaption><\/figure>\n<p>Atrial flutter is less common than atrial fibrillation in mitral stenosis. In this ECG the flutter waves are seen well in inferior leads and V1 as typical sawtooth waves. It is less prominent in other leads. Such an organised flutter is rare in mitral stenosis. In some cases of mitral stenosis, the coarse fibrillary waves resemble flutter waves in some leads, but not in others. Such impure rhythms are sometimes called flutter-fibrillation, flitter or fib-flutter. In those cases the waves are irregular. In this ECG the waves are regular, suggesting true atrial flutter. The conduction ratio is varying so that the ventricular rate is irregular and resembling atrial fibrillation. The large atria in this case (both left and right atria as there was severe pulmonary arterial hypertension secondary to severe mitral stenosis) helps the maintenance of this flutter circuit.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Atrial flutter in mitral stenosis: Atrial flutter is less common than atrial fibrillation in mitral stenosis. <\/p>\n","protected":false},"author":1,"featured_media":37363,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[6,7],"tags":[],"class_list":["post-3371","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ecg-electrophysiology","category-ecg-library"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Atrial flutter in mitral stenosis<\/title>\n<meta name=\"description\" content=\"Atrial flutter in mitral stenosis: Atrial flutter is less common than atrial fibrillation in mitral stenosis.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/atrial-flutter-in-mitral-stenosis\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Atrial flutter in mitral stenosis\" \/>\n<meta property=\"og:description\" content=\"Atrial flutter in mitral stenosis: Atrial flutter is less common than atrial fibrillation in mitral stenosis.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/johnsonfrancis.org\/professional\/atrial-flutter-in-mitral-stenosis\/\" \/>\n<meta property=\"og:site_name\" content=\"All About Cardiovascular System and Disorders\" \/>\n<meta property=\"article:published_time\" content=\"2009-10-27T01:17:50+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-11-24T04:22:15+00:00\" \/>\n<meta name=\"author\" content=\"Johnson Francis\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Johnson Francis\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/atrial-flutter-in-mitral-stenosis\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/atrial-flutter-in-mitral-stenosis\\\/\"},\"author\":{\"name\":\"Johnson Francis\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"headline\":\"Atrial flutter in mitral stenosis\",\"datePublished\":\"2009-10-27T01:17:50+00:00\",\"dateModified\":\"2023-11-24T04:22:15+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/atrial-flutter-in-mitral-stenosis\\\/\"},\"wordCount\":161,\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/atrial-flutter-in-mitral-stenosis\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"articleSection\":[\"ECG \\\/ Electrophysiology\",\"ECG Library\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/atrial-flutter-in-mitral-stenosis\\\/\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/atrial-flutter-in-mitral-stenosis\\\/\",\"name\":\"Atrial flutter in mitral stenosis\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/atrial-flutter-in-mitral-stenosis\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/atrial-flutter-in-mitral-stenosis\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"datePublished\":\"2009-10-27T01:17:50+00:00\",\"dateModified\":\"2023-11-24T04:22:15+00:00\",\"description\":\"Atrial flutter in mitral stenosis: Atrial flutter is less common than atrial fibrillation in mitral stenosis.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/atrial-flutter-in-mitral-stenosis\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/atrial-flutter-in-mitral-stenosis\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/atrial-flutter-in-mitral-stenosis\\\/#primaryimage\",\"url\":\"\",\"contentUrl\":\"\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/atrial-flutter-in-mitral-stenosis\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Atrial flutter in mitral stenosis\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/\",\"name\":\"All About Cardiovascular System and Disorders\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":[\"Person\",\"Organization\"],\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\",\"name\":\"Johnson Francis\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"caption\":\"Johnson Francis\"},\"logo\":{\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\"},\"description\":\"Former Professor of Cardiology, Calicut Govt. Medical Kozhikode, Kerala, India. Editor-in-Chief, BMH Medical Journal\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/author\\\/jf\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Atrial flutter in mitral stenosis","description":"Atrial flutter in mitral stenosis: Atrial flutter is less common than atrial fibrillation in mitral stenosis.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/johnsonfrancis.org\/professional\/atrial-flutter-in-mitral-stenosis\/","og_locale":"en_US","og_type":"article","og_title":"Atrial flutter in mitral stenosis","og_description":"Atrial flutter in mitral stenosis: Atrial flutter is less common than atrial fibrillation in mitral stenosis.","og_url":"https:\/\/johnsonfrancis.org\/professional\/atrial-flutter-in-mitral-stenosis\/","og_site_name":"All About Cardiovascular System and Disorders","article_published_time":"2009-10-27T01:17:50+00:00","article_modified_time":"2023-11-24T04:22:15+00:00","author":"Johnson Francis","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Johnson Francis","Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/johnsonfrancis.org\/professional\/atrial-flutter-in-mitral-stenosis\/#article","isPartOf":{"@id":"https:\/\/johnsonfrancis.org\/professional\/atrial-flutter-in-mitral-stenosis\/"},"author":{"name":"Johnson Francis","@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"headline":"Atrial flutter in mitral stenosis","datePublished":"2009-10-27T01:17:50+00:00","dateModified":"2023-11-24T04:22:15+00:00","mainEntityOfPage":{"@id":"https:\/\/johnsonfrancis.org\/professional\/atrial-flutter-in-mitral-stenosis\/"},"wordCount":161,"publisher":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"image":{"@id":"https:\/\/johnsonfrancis.org\/professional\/atrial-flutter-in-mitral-stenosis\/#primaryimage"},"thumbnailUrl":"","articleSection":["ECG \/ Electrophysiology","ECG Library"],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https:\/\/johnsonfrancis.org\/professional\/atrial-flutter-in-mitral-stenosis\/","url":"https:\/\/johnsonfrancis.org\/professional\/atrial-flutter-in-mitral-stenosis\/","name":"Atrial flutter in mitral stenosis","isPartOf":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#website"},"primaryImageOfPage":{"@id":"https:\/\/johnsonfrancis.org\/professional\/atrial-flutter-in-mitral-stenosis\/#primaryimage"},"image":{"@id":"https:\/\/johnsonfrancis.org\/professional\/atrial-flutter-in-mitral-stenosis\/#primaryimage"},"thumbnailUrl":"","datePublished":"2009-10-27T01:17:50+00:00","dateModified":"2023-11-24T04:22:15+00:00","description":"Atrial flutter in mitral stenosis: Atrial flutter is less common than atrial fibrillation in mitral stenosis.","breadcrumb":{"@id":"https:\/\/johnsonfrancis.org\/professional\/atrial-flutter-in-mitral-stenosis\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/johnsonfrancis.org\/professional\/atrial-flutter-in-mitral-stenosis\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/johnsonfrancis.org\/professional\/atrial-flutter-in-mitral-stenosis\/#primaryimage","url":"","contentUrl":""},{"@type":"BreadcrumbList","@id":"https:\/\/johnsonfrancis.org\/professional\/atrial-flutter-in-mitral-stenosis\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/johnsonfrancis.org\/professional\/"},{"@type":"ListItem","position":2,"name":"Atrial flutter in mitral stenosis"}]},{"@type":"WebSite","@id":"https:\/\/johnsonfrancis.org\/professional\/#website","url":"https:\/\/johnsonfrancis.org\/professional\/","name":"All About Cardiovascular System and Disorders","description":"","publisher":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/johnsonfrancis.org\/professional\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":["Person","Organization"],"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec","name":"Johnson Francis","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","caption":"Johnson Francis"},"logo":{"@id":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g"},"description":"Former Professor of Cardiology, Calicut Govt. Medical Kozhikode, Kerala, India. Editor-in-Chief, BMH Medical Journal","url":"https:\/\/johnsonfrancis.org\/professional\/author\/jf\/"}]}},"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/3371","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/comments?post=3371"}],"version-history":[{"count":4,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/3371\/revisions"}],"predecessor-version":[{"id":61466,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/3371\/revisions\/61466"}],"wp:attachment":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/media?parent=3371"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/categories?post=3371"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/tags?post=3371"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}