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cardiology diagnosis differential ekg electrocardiogram tachycardia causes clinical management typical arrhythmias bradyarrhythmia bradycardia cheatsheet classification clockwise comparison counterclockwise evaluation irregular
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Flutter on EKG ... Flutter • Inferior ... Flutter • Inferior ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Reverse Typical ... Flutter on EKG ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
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 ... algorithm #irregular
Counterclockwise and (Left) vs Clockwise (Right) Flutter Typical atrial flutter is counterclockwise in direction and originates from
Clockwise (Right) Flutter ... the circuit can reverse ... flutter from the ... appearance on ECG ... #EKG #Cardiology
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... DANGER (4) Vfib/flutter ... flutter (3) ... absent P (2) A flutter ... electrocardiogram #cardiology
Causes of Tachycardia - Differential Diagnosis Algorithm Narrow Complex - Regular: • Sinus tachycardia • Atrial flutter
Differential Diagnosis Algorithm ... Narrow Complex ... flutter • AV ... flutter with variable ... #Causes #cardiology
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
Differential Diagnosis Algorithm ... (>100 bpm) - Narrow ... Tachycardia • Aflutter ... WPW) - Narrow ... • AFib • AFIutter
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable Narrow-Complex ... flutter, ectopic ... flutter or MAT ... Treatment #management #cardiology ... #algorithm
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
EKG Interpretation ... (e.g. ectopic atrial ... Flutter PR Interval ... • U waves = severe ... #Interpretation
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... flutter, or atrial ... fibrillation/flutter ... Valvular disease (e.g ... #Palpitations #Cardiology
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