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differential cardiology ekg electrocardiogram aflutter management syndrome tachycardia typical counterclockwise hematology obstetrics reverse workup acidosis amyloid amyloidosis anesthesia anesthesiology antiphospholipid
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Typical (Clockwise) Atrial ... Flutter on EKG ... Counterclockwise) Atrial ... Typical (Clockwise) Atrial ... #ecg #ekg #electrocardiogram
Atrial Flutter on EKG • Regularly-occurring atrial activity • ≥ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... atrial activity ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Isthmus Independent Atrial ... atrial activity ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial ... Flutter on EKG ... Counterclockwise #Atrial ... #ecg #ekg #electrocardiogram ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Typical (Clockwise) Atrial ... Flutter on EKG ... Typical #Clockwise #Atrial ... #ecg #ekg #electrocardiogram ... #diagnosis
Causes of Tachycardia - Differential Diagnosis Algorithm Narrow Complex - Regular: • Sinus tachycardia • Atrial flutter
tachycardia • Atrial ... tachycardia • Atrial ... Irregular: • Atrial ... • Multifocal atrial ... #Algorithm #Causes
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
convert - Possible atrial ... atrial tachycardia ... Rhythm: • Probable atrial ... fibrillation or possible atrial ... management #cardiology #algorithm
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
tachycardia (2) Atrial ... SVTs - atrial/junctional ... (3) Multifocal atrial ... 200ms from longer pause ... #EKG #diagnosis
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
- Differential Diagnosis ... • Premature atrial ... Monofocal Ectopic Atrial ... • Multifocal Atrial ... #Algorithm #causes
Causes of Cyanosis in the Newborn - Differential Diagnosis Algorithm Peripheral Only: • Poor Perfusion • Acrocyanosis Hemoglobinopathy:
Causes of Cyanosis ... Arteriosus • Atrial ... Transposition of the Great Arteries ... #Algorithm #Causes ... #Peds #Pediatrics
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