A 78 yo patient male presents with palpitations. He has no chest pain or shortness of breath. His heart rate is 138bpm and he was haemodynamically stable. His ECG is shown. Describe and interpret the ECG. Is this sinus rhythm? What is the diagnosis if it isn’t sinus rhythm? How would you treat this patient? BRIEF ANSWER The diagnosis is atrial flutter. Do you know how to pick it? Do these patients need anticoagulation? Below is the post treatment ECG. MEMBERS login and go to the section on Atrial Flutter for a rapid review
