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ekg clinical atrial differential tachycardia typical counterclockwise reverse bradyarrhythmia bradycardia causes cheatsheet clockwise comparison echocardiogram emergency evaluation independent interpretation irregular
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Clockwise) Atrial Flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Independent Atrial Flutter ... CTI-independent flutter ... Independent #Atrial #Flutter ... #aflutter #ecg ... #ekg #electrocardiogram
Atrial Flutter on EKG • Regularly-occurring atrial activity • ≥ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... #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 ... Counterclockwise #Atrial #Flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Clockwise) Atrial Flutter ... Clockwise #Atrial #Flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... #diagnosis
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular Narrow - Regular: Use P
If see flutter p ... • Atrial Flutter ... see P, either Flutter ... If not Flutter P ... #Management #cardiology
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
DANGER (4) Vfib/flutter ... (2) Atrial flutter ... absent P (2) A flutter ... #EKG #diagnosis ... #electrocardiogram
Syncope - Differential Diagnosis Algorithm Neurocardiogenic: • Vasovagal • Orthostatic Hypotension • Autonomic Neuropathy • Situational (micturition,
Syncope - Differential ... Diagnosis Algorithm ... VFib • AFib/AFlutter ... #Cardiology #Differential ... #Diagnosis #Algorithm
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Possible atrial flutter ... Control rate (e.g ... possible atrial flutter ... Tachycardia #Treatment #management ... #cardiology #algorithm
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
EKG Interpretation ... Saw-Tooth = Atrial Flutter ... Interpretation #ECG ... #Electrocardiogram ... #cardiology #diagnosis
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