13 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
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular
Narrow - Regular:
Use P
If see flutter p ... • Atrial Flutter ... see P, either Flutter ... If not Flutter P ... Diagnosis #Management #cardiology
Tachyarrhythmia Framework - Differential Diagnosis
 • Narrow QRS - Regular Rhythm: Sinus tachycardia, AVNRT, Orthodromic AVRT,
Tachycardia, Atrial ... flutter, Junctional ... flutter w/ variable ... flutter with variable ... #Diagnosis #cardiology
Tachycardia - Differential Diagnosis Framework
Narrow-Complex:
 • Regular: Sinus Tachycardia, Junctional Tachycardia, Atrial Tachycardia, Atrial Flutter, AVRT
Tachycardia, Atrial ... Flutter, AVRT ( ... • Irregular: Atrial ... Flutter (w/ variable ... #Diagnosis #cardiology
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
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 ... #Tachycardias #differential
Causes of Tachycardia - Differential Diagnosis Algorithm
Narrow Complex - Regular:
 • Sinus tachycardia
 • Atrial flutter
tachycardia • Atrial ... flutter • AV ... tachycardia • Atrial ... Irregular: • Atrial ... flutter with variable
Arrhythmias - Differential Diagnosis Algorithm

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