14 results
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
Typical atrial ... Atypical atrial ... from the left atrium ... #EKG #Cardiology ... #Classification
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
cue to look for flutter ... #Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Absent a wave - Atrial ... tachycardia - Flutter ... waves - Atrial ... flutter - Prominent ... stenosis, right atrial
Causes of Tachycardia - Differential Diagnosis Algorithm
Narrow Complex - Regular:
 • Sinus tachycardia
 • Atrial flutter
tachycardia • Atrial ... flutter • AV ... tachycardia • Atrial ... Irregular: • Atrial ... flutter with variable
Anatomical Differential Diagnosis for Arrhythmias
 • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS)
 • AV
: Premature Atrial ... Flutter (AFL), ... Atrial Fibrillation ... #Diagnosis #Causes ... #cardiology
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
• Premature atrial ... Monofocal Ectopic Atrial ... Tachycardia • Aflutter ... • AFib • AFIutter ... • Multifocal Atrial
Narrow Complex Tachycardias (Simplified)

Irregular Narrow Complex Tachycardia:
 1. Atrial fibrillation
	- Usually the correct answer
 2. Multifocal
Atrial fibrillation ... Multifocal Atrial ... Atrial flutter ... (Ectopic) Atrial ... #cardiology
Digoxin effect on Electrocardiogram (EKG)
Digoxin is a cardiac glycoside from the foxglove leaf
Mechanism
 - Inhibits Na-K
nodal conduction Uses ... : - Atrial fibrillation ... and atrial flutter ... Electrocardiogram #EKG ... #Cardiology #Digitalis
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
convert - Possible atrial ... flutter, ectopic ... atrial tachycardia ... Rhythm: • Probable atrial ... flutter or MAT
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
DANGER (4) Vfib/flutter ... tachycardia (2) Atrial ... flutter (3) ... SVTs - atrial/junctional ... (3) Multifocal atrial