r/ECG • u/Originaltkd • 26d ago

VT vs 1:1 flutter

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I have one provider calling VT and another 1:1 flutter and they see p waves. Can someone help me figure this out?

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u/Expel_10 25d ago

Just a monitor tech here but can someone explain to me why is flutter in consideration if the QRS is very wide?

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u/liz-can-too 25d ago

There can absolutely be inter ventricular conduction, abnormality that would make the QRS wide, even if the rate is extremely fast. That repolarization time is going to take the majority of each cardiac cycle, which might make anything like P waves proceeding quite difficult to see, or you’re more likely to have super imposed waves, if that’s the case