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Formula (F-M-1) / 2 ( Kimura, 01).
F waves ecg. (A small f indicates atrial fibrillation). The F/M ratio (F-M-1) /2M (Kimura, 01) compares proximal and distal segments and is useful in evaluating conduction time from stimulation site to spinal cord. It is, luckily, easy to distinguish these two because f-waves always show varying morphology whereas flutter waves are more or less identical (f-waves also have higher frequency than flutter waves).
Amplitude of an F wave is measured from peak to peak and reflects motor neuron excitability. Large f-waves must not be mistaken for flutter waves (F-waves) which are seen in atrial flutter. The waves of atrial flutter usually best seen in ECG leads 2, 3, and AVF.
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