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electrocardiogram flutter management mat multifocal comparison differential treatment typical counterclockwise ecgeducator medstudent reverse rhythm acutepe aorticdissection aorticregurgitation arrhythmias bradyarrhythmia bradycardia
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
Multifocal Atrial ... • At least 3 different ... • Hypoxia • Pulmonary ... #Cardiology #Diagnosis ... #ECG #EKG #Management
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Typical (Clockwise) Atrial ... Flutter on EKG ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
Atrial Flutter on EKG • Regularly-occurring atrial activity • ≥ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... EKG • Regularly-occurring ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
atrial activity ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial ... Flutter on EKG ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Typical (Clockwise) Atrial ... Flutter on EKG ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Multifocal Atrial Tachycardia (MAT) on EKG • Heart rate > 100 bpm (usually 100-150 bpm) •
) on EKG • Heart ... #Tachycardia #diagnosis ... #cardiology #EKG ... #ECG #Electrocardiogram ... #labeled #clinical
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves 2. Don't trust
cue to look for flutter ... #Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
atrial tachycardia ... Control rate (e.g ... Control rate (e.g ... Treatment #management #cardiology ... #algorithm
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... Drive: • Sinus Tachycardia ... in relation to ECG ... #EKG #Pulmonary ... Embolism #AcutePE #diagnosis
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