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Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Clockwise) Atrial Flutter ... on EKG Typical ... #aflutter #ecg ... #ekg #electrocardiogram ... cardiology #clinical #diagnosis
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Independent Atrial Flutter ... activity without typical ... CTI-independent flutter ... #aflutter #ecg ... #ekg #electrocardiogram
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
) Atrial Flutter ... Counterclockwise #Atrial #Flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... cardiology #clinical #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 ... cardiology #clinical #diagnosis
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #ECG #EKG #diagnosis ... #electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... deviation) • Acute ischemia ... #EKG #diagnosis ... differential #cardiology #electrocardiogram
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
(electrocardiogram ... WOBBLER: Each letter ... such as first-degree ... Epsilon #clinical #diagnosis ... not have obvious ischemia