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ecg differential clinical atrial typical counterclockwise dewinter equivalents interpretation reverse twaves bradyarrhythmia bradycardia cheatsheet clockwise comparison criteria echocardiogram elevation embolism
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Clockwise) Atrial Flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Independent Atrial Flutter ... CTI-independent flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial Flutter ... on EKG • Inferior ... Counterclockwise #Atrial #Flutter ... #aflutter #ecg ... #ekg #electrocardiogram
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Clockwise) Atrial Flutter ... on EKG • Inferior ... Clockwise #Atrial #Flutter ... #aflutter #ecg ... #ekg #electrocardiogram
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
Pattern STEMI ... Equivalent - Left anterior ... ST elevation in aVR ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
come before or after ... STEMI - look for ... ST elevation in aVR ... #ECG #Electrocardiogram ... #diagnosis #cardiology
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
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
main coronary artery ... (LMCA). left anterior ... #electrocardiogram ... #diagnosis #ekg ... #differential #cardiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
leads with STE in avR ... - early inferior ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
at (or 40-60 ms after ... ST elevation in aVR ... #EKG #diagnosis ... #differential #cardiology ... #electrocardiogram
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