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aflutter atrial ekg electrocardiogram typical counterclockwise reverse clockwise comparison differential emergency encephalopathy evaluation independent isthmus myocarditis neurology perioperative posterior preop
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
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... performed) • Clinical ... gallop • Abnormal ECG ... , echocardiogram ... #Management #Cardiology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
brain PRES Clinical ... circulation: MCA ACA ... Constipation, Seizures, Stroke ... • EEG: With persistent ... #management #neurology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Change in clinical ... one post op Cardiology ... • <6mo since stroke ... medical and surgical management ... stratification #diagnosis
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
WOBBLER: Each letter ... #diagnosis waves ... Clinical Utility ... #cardiology #differential ... #echocardiogram
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