10 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Flutter on EKG ... FlutterInferior ... FlutterInferior ... #ecg #ekg #electrocardiogram ... cardiology #clinical #diagnosis
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
atrial activity ... without typical inferior ... #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 ... • Inferior leads ... #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 ... • Inferior leads ... #ecg #ekg #electrocardiogram ... cardiology #clinical #diagnosis
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... also a result of atrial ... #EKG #Pulmonary ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... (e.g. ectopic atrial ... #Electrocardiogram ... #cardiology #diagnosis ... #system #cheatsheet
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... Pneumothorax • Pulmonary ... Initial workup: • EKG ... • Bedside ultrasound ... , PT. aPTT • Serial
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Sister had MI in ... Differential/diagnosis ... inversions V1-V4 plus inferior ... #EKG #Electrocardiogram
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
in-hospital mortality in inferior ... RV dysfunction. e.g ... SYSTEMIC VASCULAR ... correlate in the SHOCK trial ... artery #catheter #diagnosis
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... Palpitations Diagnosis ... flutter, or atrial ... Anticholinergics Systemic ... Pheochromocytoma • Pulmonary