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ecg electrocardiogram differential typical arrhythmias causes counterclockwise reverse tachycardia anatomical bradyarrhythmia cheatsheet clockwise comparison evaluation independent interpretation irregular isthmus management
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Flutter on EKG ... Flutter • Inferior ... #Flutter #aflutter ... #cardiology #clinical ... #diagnosis #comparison
Atrial Flutter on EKG • Regularly-occurring atrial activity • ≥ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... depolarizations (i.e. flutter ... #Flutter #aflutter ... #cardiology #clinical ... #diagnosis
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Flutter • Rapid ... CTI-independent flutter ... #Flutter #aflutter ... #cardiology #clinical ... #diagnosis
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular Narrow - Regular: Use P
If see flutter p ... • Atrial Flutter ... If not Flutter P ... #Management #cardiology ... #wide #narrow #algorithm
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial ... Flutter on EKG ... #Flutter #aflutter ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Typical (Clockwise) Atrial ... Flutter on EKG ... #Flutter #aflutter ... #cardiology #clinical ... #diagnosis
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
abberancy - N B Afib ... /flutter - DANGER ... flutter (3) ... absent P (2) A flutter ... #EKG #diagnosis
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
bpm) • Sinus Bradycardia ... Tachycardia • Aflutter ... interval) • AFib ... • AFIutter ... tachyarrhythmias #Cardiology
Anatomical Differential Diagnosis for Arrhythmias • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS) • AV
Anatomical Differential Diagnosis ... SA node: Sinus bradycardia ... Flutter (AFL), ... Fibrillation (V-Fib ... #Causes #cardiology
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
(e.g. ectopic atrial ... Waves/Fibrillary = afib ... Flutter PR Interval ... hypokalaemia or bradycardia ... #diagnosis #system
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