The ECG shows atrial flutter with 2:1 AV conduction. Flutter (F) waves are clearly visible and have been marked with red arrows, most prominent in inferior leads.

Atrial flutter often presents with a regular tachycardia around 150 bpm. In patients over 60 with new-onset palpitations and a regular rhythm, always keep flutter in mind. Recognizing the pattern early can prevent misdiagnosis and lead to more effective management.

Did you spot the flutter waves? Let’s hear your thoughts below.