12 results
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
Flutter Typical atrial ... causing clockwise atrial ... Atypical atrial ... from the left atrium ... areas in the right atrium
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... hypertension Management ... #Multifocal #Atrial ... Cardiology #Diagnosis #ECG ... #EKG #Management
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
Typical ECG changes ... leads indicates atrial ... inverted #Diagnosis #EM ... #IM #Cardiology ... #EKG #Pericarditis
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
#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 ... Rhythm: • Probable atrial ... fibrillation or possible atrial ... Tachycardia #Treatment #management
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
LV compliance), ECG ... progression, LA: left atrium ... Dysfunction #Grading #Classification
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
, Symptoms and Management ... despite hx HTN) EKG ... precordial leads) - atrial ... Diagnosis #Stages #Management
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
Brady Management ... P and QRS • Atrial ... HeartBlocks #Types #Classification ... summary #Diagnosis #EKG ... electrocardiogram #ecg
This is a parasternal long axis view of a young patient presenting with 3 days of
x-ray and and ECG ... root, and left atrium ... Michael Macias, EM ... University #Clinical #EM
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... when possible (eg ... dysrhythmias (eg ... , atrial fibrillation ... #Shock #Management