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cardiology atrial diagnosis typical counterclockwise physicalexam reverse awaves cannon clockwise comparison differential ecgeducator frog independent isthmus lead lewis palpitations placement
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
on EKG Typical ... Clockwise) Atrial Flutter ... #aflutter #ecg ... #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 ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Atrial Flutter on EKG • Regularly-occurring atrial activity • ≥ 240 atrial depolarizations (i.e. flutter waves)
EKG • Regularly-occurring ... depolarizations (i.e. flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
on EKG • Inferior ... Counterclockwise #Atrial #Flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
on EKG • Inferior ... Clockwise #Atrial #Flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Atrial Flutter on Neck Examination If you can dx this rhythm, you are born before 1960. Early
Atrial Flutter on ... revealing the flutter ... Hence 2:1 flutter ... AVNRT would show ... #JVP #Clinical
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 A Lewis Lead (also called the S5 lead) is a modified ECG lead used to detect
is a modified ECG ... detect atrial flutter ... standard 12 lead ECG ... Lead I on the ECG ... #Cardiology #EKG
Cannon A waves during AVNRT on Physical Exam In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... that’s called “clinical ... #PhysicalExam #JVP ... #Cardiology #Neck ... #Frog #Sign
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 Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
in the chest or neck ... exam • 12-lead ECG ... Paroxysmal AF, atrial flutter ... Atrial fibrillation/flutter ... Valvular disease (e.g
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