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ecg ekg atrial flutter typical counterclockwise differential equivalents reverse stemi clockwise comparison independent interpretation ischemia isthmus pattern pericarditis wellens
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
leads: Sawtooth waves ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
• Negative F waves ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
ECG pattern "de Winter" (ST depression in V1-V6 with upsloping ST depression and a hyperacute T-wave) #DeWinter #Pattern
) #DeWinter # ... Pattern #electrocardiogram ... #cardiology #ekg ... #ecg #diagnosis ... #clinical
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
leads: Sawtooth waves ... with positive "p waves ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
leads: "Positive" waves ... & negative "P waves ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Atrial Flutter on EKG • Regularly-occurring atrial activity • ≥ 240 atrial depolarizations (i.e. flutter waves)
waves) / min ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Wellens' Sign: LAD-T Wave Inversion Life threatening T wave inversions in precordial leads. Often V2-V3 Specific
Wellens' Sign: LAD-T ... Specific for critical ... #Wellens #Sign # ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... Equivalents #ECG #EKG #diagnosis ... #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 ... Ischemia #ECG #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
Pericarditis on EKG Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
- Widespread T wave ... Normalization Spodick's sign ... Pericarditis #EKG #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical
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