Introduction:
Ever given a patient adenosine to cure their SVT with a flourish,
*PUSH* – *FLUSH* – “You’re gonna feel funny,” ¹
only to see the tell-tale saw tooth waves of atrial flutter marching across the screen? While you may have performed a successful diagnostic test, your patient has been given a sneak peek of the day their heart quits beating with nothing to show for it. Well you need not make this mistake again, because I’ve put together a rough list of (almost) every tip out there for diagnosing atrial-flutter with 2:1 conduction. In the end you’ll be talented enough to recognize this arrhythmia with your monitor upside-down (hint)!

