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Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Inferior leads ... • Inferior leads ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis #comparison
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
without typical inferior ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
on EKGInferior ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Clockwise) Atrial Flutter ... on EKGInferior ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Here are the most common examples of these four patterns on a chest x-ray (click image
Consolidation - Lobar ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... #CXR #Consolidation ... #Patterns #RadiologyAssistant
Left lower lobe atelectasis - There is a triangular density seen through the cardiac shadow.
This must
when you go from anterior ... the opposite #Clinical ... #Radiology #CXR ... #LLL #Lobar #Collapse ... #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
chronic illness, clinical ... Lobar pneumonia ... #Clinical #Diagnosis ... #Radiology #CXR ... #Causes #RadiologyAssistant
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
lateral leads, also diagnostic ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Based on the CXR that you just saw, you could have made the diagnosis of congestive
Based on the CXR ... have made the diagnosis ... Notice that the inferior ... #Clinical #Radiology ... Interstitial #Edema #RadiologyAssistant
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... a chest x-ray (CXR ... not seen on a CXR ... #Radiology #CTChest