11 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
(Clockwise) Atrial ... Flutter on EKG ... ) Atrial Flutter ... (Clockwise) Atrial ... #cardiology #clinical
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Flutter • Rapid ... without typical ... VI suggests a left ... #Flutter #aflutter ... #cardiology #clinical
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
Typical atrial ... causing clockwise atrial ... Atypical atrial ... from the left atrium ... #EKG #Cardiology
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
) Atrial Flutter ... Isoelectric segment with positive ... Counterclockwise #Atrial ... #Flutter #aflutter ... #cardiology #clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
(Clockwise) Atrial ... Flutter on EKG ... #Clockwise #Atrial ... #Flutter #aflutter ... #cardiology #clinical
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
cue to look for flutter ... #Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
Atrial Flutter on Neck Examination

If you can dx this rhythm, you are born before 1960. 
Early
Atrial Flutter on ... AVNRT would show ... like a constant cannon ... JamesOngMD #Atrial ... #Video #Cardiology
A Lewis Lead (also called the S5 lead) is a modified ECG lead used to detect
used to detect atrial ... flutter waves when ... atrial flutter ... depolarization, atrial ... #Cardiology #EKG
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
the atria and ventricles ... EKG of the same ... diagnose the case as Typical ... that’s called “clinical ... PhysicalExam #JVP #Cardiology
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
(A4) Apical 4 Chamber ... ventricle (RV), right atrium ... (LV) and left atrium ... of the septum #Clinical ... #EM #Cardiology