14 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Flutter on EKG ... ) Atrial Flutter ... ) Atrial Flutter ... #Atrial #Flutter ... #aflutter #ecg
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
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Reverse Typical ... (Clockwise) Atrial ... Flutter on EKG ... #Atrial #Flutter ... #aflutter #ecg
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Flutter • Rapid ... atrial activity ... without typical ... CTI-independent flutter ... #Flutter #aflutter
Atrial Flutter on Jugular Neck Examination

What does the neck / JVP exam suggest about the patient’s
Atrial Flutter on ... Permission given.) - Atrial ... flutter with 3: ... VivekKulkarniMD #Atrial ... #Flutter #Jugular
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
) Atrial Flutter ... on EKG • Inferior ... Counterclockwise #Atrial ... #Flutter #aflutter ... #cardiology #clinical
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
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
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