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atrial ekg electrocardiogram flutter typical counterclockwise reverse syndrome afib cardiomyopathy chads2vasc chadsvasc clockwise comparison encephalopathy evaluation fibrillation half independent isthmus
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
CHADSVASc Score - Stroke Risk in Atrial Fibrillation A clinical mnemonic to estimate stroke risk in atrial
CHADSVASc Score - Stroke ... Fibrillation A clinical ... disease (MI, PAD, aortic ... AFib #CHADS2VASc #Diagnosis ... #neurology #cardiology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
may precede the neurologic ... circulation: MCA ACA ... Constipation, Seizures, Stroke ... • EEG: With persistent ... #management #neurology
One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
this are tumors, strokes ... for retrobulbar optic ... the hospital, diagnosed ... Half #Syndrome #PhysicalExam ... ophthalmology #neurology
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 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
Peripartum Cardiomyopathy (PPCM) What is PPCM? • A form of acute systolic heart failure that develops late in
Cesarean delivery Clinical ... Key Point: High clinical ... heart failure • Aortic ... dissection • Other ... Cardiomyopathy #Cardiology
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