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ekg electrocardiogram differential aflutter atrial typical artery counterclockwise equivalents interpretation reverse angiogram aorta calculations catheter catheterization cathlab ccta cheatsheet clockwise
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
Independent Atrial Flutter ... without typical inferior ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial Flutter ... on EKG • Inferior ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Clockwise) Atrial Flutter ... on EKG • Inferior ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs ... , Aortic dissection ... in avL - early inferior ... #EKG #diagnosis ... electrocardiogram #cardiology
Left Main Coronary Artery Thrombus seen on Angiography “Mother of all coronary thrombi”. 55 year old
old male with Anterior ... wall STEMI, in ... Cardiogenic shock, ECG ... from LMCA into aortic ... #cardiology #fluoroscopy
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 STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... segment at (or 40-60 ms ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #cardiology
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
lateral leads, also diagnostic ... of STEMI. ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
Saw-Tooth = Atrial Flutter ... Septal (V1-2) • Anterior ... Interpretation #ECG ... Electrocardiogram #cardiology ... #diagnosis #system
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Paroxysmal AF, atrial flutter ... Atrial fibrillation/flutter ... ., aortic insufficiency ... #Palpitations #Cardiology
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