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aflutter differential ekg electrocardiogram management typical amyloidosis causes counterclockwise echocardiogram myocarditis palpitations peripartum pocus reverse algorithm amyloid anesthesia anesthesiology aorticdissection
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Flutter on EKG ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Flutter • Rapid ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Atrial Flutter on EKG • Regularly-occurring atrial activity • ≥ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Flutter on EKG ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Flutter on EKG ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Causes of Palpitations • ARRHYTHMiA • SINUS ARRYTHMIA • ATRIAL FIBRILLATION • ATRIAL
FLUTTER • HEART ... HEART FAILURE • CARDIOMYOPATHY ... SYPATHOMIMETICS • CARDIAC ... #Differential #Diagnosis ... #Cardiology
Restrictive Cardiomyopathy - Diagnosis and Causes Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema) Physical
- Diagnosis and ... Causes Clinical ... Echocardiography, Cardiac ... Fibrosis, Hyper-eosinophilc ... #differential #cardiology
Yamaguchi cardiomyopathy on Echocardiogram (A4C) ECG has been stable for years, she only feels unwell when in
Echocardiogram (A4C ... ) ECG has been ... Cardiac MR shows ... #hypertrophic #clinical ... #cardiology #pocus
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 Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... gallop • Abnormal ECG ... shock, sudden cardiac ... IVIG (Giant cell, eosinophilic ... #Management #Cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... flutter, or atrial ... fibrillation/flutter ... Causes: • Cardiomyopathy ... #Palpitations #Cardiology
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