Atrial flutter physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Farima Kahe M.D. [2]

Physical examination of patients with atrial flutter may reveal tachycardia, hypotension, diaphoresis, and evidence of congestive heart failure. Occasionally, cardiac auscultation may reveal an irregular rhythm, abnormal valve sounds, or a gallop.

Physical examination of patients with atrial flutter may reveal tachycardia, hypotension, diaphoresis, and evidence of congestive heart failure. Occasionally, cardiac auscultation may reveal an irregular rhythm, abnormal valve sounds, or a gallop.^[1][2]

• Patients with atrial flutter usually appear normal.

• Tachycardia with regular pulse or irregular pulse
• Low blood pressure with normal pulse pressure

• Skin examination of patients with atrial flutter is usually normal.

• Exophthalmos and neck swelling can be seen in hyperthyroidism.

• Neck examination of patients with atrial flutter is usually normal.

• Rales or crackles may be present.

• S3 may be heard in congestive heart failure.
• A mid-to-late systolic click is present, followed by a late systolic murmur which is best heard at the cardiac apex is observed in mitral valve prolapse.
• Holosystolic murmur is heard in mitral regurgitation due to rheumatic heart disease.

• Abdominal examination of patients with atrial flutter is usually normal.

• Back examination of patients with atrial flutter is usually normal.

• Genitourinary examination of patients with atrial flutter is usually normal.

• Neuromuscular examination of patients with atrial flutter is usually normal.

• Extremities examination of patients with atrial flutter is usually normal.

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