Guest guest Posted November 15, 2010 Report Share Posted November 15, 2010 Yes indeed as far as syncope. Now, about the T waves, how pronounced are they? Looking like hyperkalemic T's? If the flutter is causing ischemia, then T waves could be flipped, or changed in morphology. Look for symmetrical T waves. They are not supposed to be symmetrical. If you can draw a line down the center and both sides are exactly the same (mirror image) this can be a sign of ischemia or one of the first signs of injury. Also the rate and ratio of the flutter can cause changes. Hope you're doing well. I miss you. You were such a good student. Gene A Flutter Is syncope associated to the onset of A Flutter and are Pronounced T waves possible? Other vitals found to be within normal limits. J Meere Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 15, 2010 Report Share Posted November 15, 2010 I understand you have left the area and are not teaching here? This individual experienced syncope after being up drinking all night his morphology changed in LD 1 and 2 significantly within a few minutes. He regained consciousness after 30 sec. I highly support electrolyte disturbances yes, I think hyperkalemic. Identified as a flutter via 12 LD but atypical F waves, rhythmic, pulse reg +2. anyway, it started me thinking. Negligable ST Elevation. Couldn't talk him into going for evaluation. J Meere > Yes indeed as far as syncope. Now, about the T waves, how pronounced are they? Looking like hyperkalemic T's? If the flutter is causing ischemia, then T waves could be flipped, or changed in morphology. Look for symmetrical T waves. They are not supposed to be symmetrical. If you can draw a line down the center and both sides are exactly the same (mirror image) this can be a sign of ischemia or one of the first signs of injury. > > Also the rate and ratio of the flutter can cause changes. > > Hope you're doing well. I miss you. You were such a good student. > > Gene > > A Flutter > > Is syncope associated to the onset of A Flutter and are Pronounced T waves possible? Other vitals found to be within normal limits. > > J Meere > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 15, 2010 Report Share Posted November 15, 2010 I understand you have left the area and are not teaching here? This individual experienced syncope after being up drinking all night his morphology changed in LD 1 and 2 significantly within a few minutes. He regained consciousness after 30 sec. I highly support electrolyte disturbances yes, I think hyperkalemic. Identified as a flutter via 12 LD but atypical F waves, rhythmic, pulse reg +2. anyway, it started me thinking. Negligable ST Elevation. Couldn't talk him into going for evaluation. J Meere > Yes indeed as far as syncope. Now, about the T waves, how pronounced are they? Looking like hyperkalemic T's? If the flutter is causing ischemia, then T waves could be flipped, or changed in morphology. Look for symmetrical T waves. They are not supposed to be symmetrical. If you can draw a line down the center and both sides are exactly the same (mirror image) this can be a sign of ischemia or one of the first signs of injury. > > Also the rate and ratio of the flutter can cause changes. > > Hope you're doing well. I miss you. You were such a good student. > > Gene > > A Flutter > > Is syncope associated to the onset of A Flutter and are Pronounced T waves possible? Other vitals found to be within normal limits. > > J Meere > > Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.