Atrial Flutter on Neck Examination If you can dx this rhythm, you are born before 1960. Early on the clip, one sees a venous pulse of 140, being the "c" wave. On inspiration, increased venous return accentuated the "a" wave, revealing the flutter waves at double the ventricular rate. Hence 2:1 flutter. AVNRT would show a single large “a/c” wave as A and V contract simultaneously. It would look like a constant cannon a wave. In this Pt we see flutter waves on inspiration. James Ong, MD @JamesOngMD #Atrial #Flutter #Neck #PhysicalExam #JVP #Clinical #Video #Cardiology
