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diagnosis cardiology differential algorithm clinical ecg ekg tachycardia electrocardiogram atrial headaches neurology primary aflutter arrhythmias classification comparison echocardiogram management narrow
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Typical (Counterclockwise ... Clockwise) Atrial Flutter ... EKG Typical (Counterclockwise ... ) Atrial Flutter ... reverse #Typical #Counterclockwise
Counterclockwise and (Left) vs Clockwise (Right) Flutter Typical atrial flutter is counterclockwise in direction and originates from
Counterclockwise ... Clockwise (Right) Flutter ... Typical atrial flutter ... is counterclockwise ... clockwise atrial flutter
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Typical (Counterclockwise ... ) Atrial Flutter ... / #Typical #Counterclockwise ... #Atrial #Flutter ... #aflutter #ecg
Causes of Tachycardia - Differential Diagnosis Algorithm Narrow Complex - Regular: • Sinus tachycardia • Atrial flutter
Causes of Tachycardia ... tachycardia • Atrial flutter ... tachycardia • Atrial flutter ... Diagnosis #Algorithm #Causes
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular Regular Rhythm - Narrow Complex
(AVNRT, OAVRT, AFIutter ... Tachycardia: • AFib > AFIutter ... whether AF is cause ... Tx: Underlying cause ... Narrow #Irregular #causes
Causes of Palpitations • ARRHYTHMiA • SINUS ARRYTHMIA • ATRIAL FIBRILLATION • ATRIAL
Causes of Palpitations ... FIBRILLATION • ATRIAL FLUTTER ... #Palpitations #Causes
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
Tachycardia • Aflutter ... • AFib • AFIutter ... Diagnosis #Algorithm #causes
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Possible atrial flutter ... Treat underlying cause ... possible atrial flutter ... Treat underlying cause
Narrow Complex Tachycardias (Simplified) Irregular Narrow Complex Tachycardia: 1. Atrial fibrillation - Usually the correct answer 2. Multifocal
Atrial flutter ... differential #diagnosis #causes
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 ... 200ms from longer pause
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