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ekg diagnosis clinical atrial flutter differential counterclockwise equivalents reverse cardiomyopathy clockwise comparison elevation hocm hypertrophic independent inferoposterior interpretation isthmus misread
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
on EKG Typical ... • Inferior leads ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
activity without typical ... inferior sawtooth ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Typical (Counterclockwise ... on EKG • Inferior ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Reverse Typical ... on EKG • Inferior ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Hypertrophic Cardiomyopathy (HOCM) - EKG Characteristics Typical EKG findings may include: • Deep and narrow Q waves
Characteristics Typical ... the lateral and inferior ... leads • General signs ... are seen in the apical ... #cardiology #electrocardiogram
Wellens' Sign: LAD-T Wave Inversion Life threatening T wave inversions in precordial leads. Often V2-V3 Specific
becoming acute anterior ... maker' lesion Typically ... period without chest ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs ... Equivalents / Don't Miss Signs ... in avL - early inferior ... #electrocardiogram ... #cardiology #STEMI
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... V2 • Wellens sign ... deviation) • Acute ischemia ... #differential #cardiology ... #electrocardiogram
ECG of a 55-year-old man who presented to the ER with chest pain Computer interpretation: “Nonspecific
to the ER with chest ... Hyperacute Inferior ... InferoPosterior transmural ischemia ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... STE: "Pardee's sign ... elevation in V1 and V2 typically ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
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