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Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Counterclockwise) and ... Flutter on EKG ... Flutter • Inferior ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Digoxin effect on Electrocardiogram (EKG)
Digoxin is a cardiac glycoside from the foxglove leaf
Mechanism
 - Inhibits Na-K
(EKG) Digoxin ... fibrillation and ... atrial flutter ... or biphasic T waves ... #EKG #Cardiology
A Lewis Lead (also called the S5 lead) is a modified ECG lead used to detect
flutter waves when ... atrial flutter ... clinically, based on signs ... flutter waves may ... #Cardiology #EKG
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... without chest pain, as ... Serial EKGS in pts ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
(e.g. ectopic atrial ... Flutter PR Interval ... @AmyChung #EKG ... #Electrocardiogram ... #cardiology #diagnosis
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... EKG of the same ... ’s called Frog sign ... PhysicalExam #JVP #Cardiology ... #Neck #Frog #Sign
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... #differential #cardiology ... #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... upsloping ST dep and ... #electrocardiogram ... #cardiology #STEMI
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
(electrocardiogram ... WOBBLER: Each letter ... a delta wave. ... #cardiology #differential ... #echocardiogram