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differential management cardiology anesthesia anesthesiology causes checklist ekg electrocardiogram aflutter clinical rheumatology tachycardia dermatology syndrome typical airway cardiac counterclockwise disease
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 ... Counterclockwise #Atrial
Atrial Flutter on EKG • Regularly-occurring atrial activity • ≥ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... atrial activity ... • ≥ 240 atrial ... #ecg #ekg #electrocardiogram ... cardiology #clinical #diagnosis
Counterclockwise and (Left) vs Clockwise (Right) Flutter Typical atrial flutter is counterclockwise in direction and originates from
Typical atrial ... causing clockwise atrial ... Atypical atrial ... appearance on ECG ... #Diagnosis #ECG
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Isthmus Independent Atrial ... atrial activity ... suggests a right atrial ... suggests a left atrial ... 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 ... #Flutter #aflutter ... cardiology #clinical #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 ... #Flutter #aflutter ... cardiology #clinical #diagnosis
Causes of Tachycardia - Differential Diagnosis Algorithm Narrow Complex - Regular: • Sinus tachycardia • Atrial flutter
tachycardia • Atrial ... tachycardia • Atrial ... Irregular: • Atrial ... • Multifocal atrial ... tachycardia • Atrial
Approach to the Hypercoagulable State Arterial thromboembolism → Cardiac rhythm monitoring, Echocardiogram, Vascular imaging → Test for APS, particularly
Hypercoagulable State Arterial ... risk actor for arterial ... • Provoked (e.g ... #hematology #diagnosis ... #algorithm #hematology
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... tachycardia (2) Atrial ... SVTs - atrial/junctional ... (3) Multifocal atrial ... #EKG #diagnosis
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular Narrow - Regular: Use P
- Differential Diagnosis ... If see flutter p ... • Atrial Flutter ... #Differential #Diagnosis ... #wide #narrow #algorithm
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