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Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
) Atrial Flutter ... Clockwise) Atrial Flutter ... #Atrial #Flutter ... #aflutter #ecg ... #ekg #electrocardiogram
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
) Atrial Flutter ... #Atrial #Flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... cardiology #clinical #diagnosis
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Independent Atrial Flutter ... CTI-independent flutter ... Independent #Atrial #Flutter ... #aflutter #ecg ... #ekg #electrocardiogram
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
Counterclockwise ... Clockwise (Right) Flutter ... Typical atrial flutter ... is counterclockwise ... #Diagnosis #ECG
Atrial Flutter on EKG
 • Regularly-occurring atrial activity
 • ≥ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... depolarizations (i.e. flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... cardiology #clinical #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Clockwise) Atrial Flutter ... Clockwise #Atrial #Flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... cardiology #clinical #diagnosis
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
DANGER (4) Vfib/flutter ... (2) Atrial flutter ... absent P (2) A flutter ... #EKG #diagnosis ... #electrocardiogram
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... Saw-Tooth = Atrial Flutter ... #Interpretation ... #ECG #Electrocardiogram ... #cardiology #diagnosis
Algorithm for the Evaluation of Regular, Wide-Complex Tachycardia
1. aVR: Is the initial deflection in aVR positive?
Algorithm for the ... Tachycardia #Evaluation #Interpretation ... #ECG #EKG #Electrocardiogram ... #Diagnosis #Cardiology
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
for assessing an ECG ... (electrocardiogram ... WOBBLER: Each letter ... Epsilon #clinical #diagnosis ... interpretation.