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cardiology diagnosis ecg ekg aflutter atrial typical counterclockwise equivalents reverse bradyarrhythmia bradycardia cardio cardiomyopathy clockwise comparison doppler echocardiogram elevation embolism
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Clockwise) Atrial Flutter ... Counterclockwise) Atrial Flutter ... Clockwise) Atrial Flutter ... #ekg #electrocardiogram ... #cardiology #clinical
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Independent Atrial Flutter ... CTI-independent flutter ... • Negative F waves ... #ekg #electrocardiogram ... #cardiology #clinical
Inverted P Waves: (A) Ectopic atrial rhythm (B) Junctional rhythm #Inverted #PWaves #cardiology #diagnosis #ekg #ecg #electrocardiogram #differential
Inverted P Waves ... #cardiology #diagnosis ... #ekg #ecg #electrocardiogram ... #differential # ... clinical
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial Flutter ... leads: Sawtooth waves ... with positive "p waves ... #ekg #electrocardiogram ... #cardiology #clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Clockwise) Atrial Flutter ... leads: "Positive" waves ... & negative "P waves ... #ekg #electrocardiogram ... #cardiology #clinical
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... EKG #diagnosis #electrocardiogram ... #cardiology #STEMI ... Interpretation #differential
Atrial Flutter on EKG • Regularly-occurring atrial activity • ≥ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... depolarizations (i.e. flutter ... waves) / min ... #ekg #electrocardiogram ... #cardiology #clinical
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... • Conventional STEMI ... aVR • Posterior STEMI ... EKG #diagnosis #differential ... #cardiology #electrocardiogram
Hyperkalemia on EKG "Mild" Hyperkalemia • Peaked, narrow-based T Waves • Double counting of HR by EKG
narrow-based T Waves ... • Pseudo-STEMI ... Hyperkalemia #EKG #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
DANGER (4) Vfib/flutter ... (2) Atrial flutter ... 3 different P waves ... EKG #diagnosis #electrocardiogram ... #cardiology #differential
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