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cardiology diagnosis ecg electrocardiogram echocardiogram aflutter differential ecgeducator plax comparison medstudent tachycardia causes management typical a4c arrhythmia counterclockwise em fibrillation
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Typical (Clockwise) Atrial ... Flutter on EKG ... Counterclockwise) Atrial ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Atrial flutter with AV block on Echocardiogram Ivan Stankovic, MD, PhD @Ivan_Echocardio #Atrial #Flutter #PLAX #psax #Echocardiogram #clinical
Atrial flutter with ... AV block on Echocardiogram ... #Flutter #PLAX ... Echocardiogram #clinical ... #cardiology #pocus
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 Atrial Flutter on EKG • Regularly-occurring atrial activity • ≥ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... EKG • Regularly-occurring ... depolarizations (i.e. flutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Flutter • Rapid ... CTI-independent flutter ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Causes of Tachycardia - Differential Diagnosis Algorithm Narrow Complex - Regular: • Sinus tachycardia • Atrial flutter
Differential Diagnosis Algorithm ... flutter • AV ... tachycardia • AV ... flutter with variable ... Differential #Diagnosis #Algorithm
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
DANGER (4) Vfib/flutter ... flutter (3) ... SVTs - atrial/junctional ... (3) Multifocal atrial ... #EKG #diagnosis
Digoxin effect on Electrocardiogram (EKG) Digoxin is a cardiac glycoside from the foxglove leaf Mechanism - Inhibits Na-K
- Decreases AV ... conduction Uses: - Atrial ... fibrillation and atrial ... flutter (rate control ... Electrocardiogram #EKG
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial ... Flutter on EKG ... Counterclockwise #Atrial ... #Flutter #aflutter ... #cardiology #clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Typical (Clockwise) Atrial ... Flutter on EKG ... Typical #Clockwise #Atrial ... #Flutter #aflutter ... #cardiology #clinical
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Control rate with AV ... flutter, ectopic ... Control rate (e.g ... flutter or MAT ... management #cardiology #algorithm
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