11 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Clockwise) Atrial Flutter ... Clockwise) Atrial Flutter ... Counterclockwise #Atrial #Flutter ... #aflutter #ecg ... #ekg #electrocardiogram
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Independent Atrial Flutter ... activity without typical ... CTI-independent flutter ... #aflutter #ecg ... #ekg #electrocardiogram
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Typical (Counterclockwise ... ) Atrial Flutter ... Counterclockwise #Atrial #Flutter ... #aflutter #ecg ... #ekg #electrocardiogram
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Reverse Typical ... Clockwise) Atrial Flutter ... Clockwise #Atrial #Flutter ... #aflutter #ecg ... #ekg #electrocardiogram
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular
Narrow - Regular:
Use P
If see flutter p ... • Sinus Tachy ... • Atrial Flutter ... If not Flutter P ... #wide #narrow #algorithm
Narrow Complex Tachycardias (Simplified)

Irregular Narrow Complex Tachycardia:
 1. Atrial fibrillation
	- Usually the correct answer
 2. Multifocal
Sinus tachycardia ... Atrial flutter ... tachycardia #NarrowComplex
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Differential Diagnosis Algorithm ... (<60 bpm) • Sinus ... Tachycardia • Aflutter ... • AFib • AFIutter ... Differential #Diagnosis #Algorithm
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
DANGER (2) Sinus ... DANGER (4) Vfib/flutter ... (2) Atrial flutter ... absent P (2) A flutter ... EKG #diagnosis #electrocardiogram
Causes of Tachycardia - Differential Diagnosis Algorithm
Narrow Complex - Regular:
 • Sinus tachycardia
 • Atrial flutter
Differential Diagnosis Algorithm ... - Regular: • Sinus ... tachycardia • Atrial flutter ... tachycardia • Atrial flutter ... Differential #Diagnosis #Algorithm
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Possible atrial flutter ... possible atrial flutter ... cause #Stable #NarrowComplex ... management #cardiology #algorithm