7 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Eric Strong @DrEricStrong ... - Strong Medicine ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis #comparison
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Eric Strong @DrEricStrong ... - Strong Medicine ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Eric Strong @DrEricStrong ... - Strong Medicine ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Atrial Flutter on EKG
 • Regularly-occurring atrial activity
 • ≥ 240 atrial depolarizations (i.e. flutter waves)
Eric Strong @DrEricStrong ... - Strong Medicine ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Eric Strong @DrEricStrong ... - Strong Medicine ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
movement) in either direction ... this are tumors, strokes ... for retrobulbar optic ... the hospital, diagnosed ... Half #Syndrome #PhysicalExam
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Change in clinical ... risk (>5%): - Aortic ... one post op Cardiology ... • <6mo since stroke ... stratification #diagnosis