26 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Flutter on EKG ... Flutter • Inferior ... Flutter • Inferior ... #Flutter #aflutter ... #clinical #diagnosis
Atrial Flutter on EKG
 • Regularly-occurring atrial activity
 • ≥ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... depolarizations (i.e. flutter ... #Flutter #aflutter ... electrocardiogram #cardiology ... #clinical #diagnosis
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Flutter • Rapid ... CTI-independent flutter ... #Flutter #aflutter ... electrocardiogram #cardiology ... #clinical #diagnosis
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular
Narrow - Regular:
Use P
If see flutter p ... • Atrial Flutter ... If not Flutter P ... #Management #cardiology ... #wide #narrow #algorithm
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial ... Flutter on EKG ... #Flutter #aflutter ... electrocardiogram #cardiology ... #clinical #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Typical (Clockwise) Atrial ... Flutter on EKG ... #Flutter #aflutter ... electrocardiogram #cardiology ... #clinical #diagnosis
Causes of Tachycardia - Differential Diagnosis Algorithm
Narrow Complex - Regular:
 • Sinus tachycardia
 • Atrial flutter
Causes of Tachycardia ... flutter • AV ... flutter with variable ... #Algorithm #Causes ... #cardiology
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
- Differential Diagnosis ... Tachycardia • Aflutter ... • AFib • AFIutter ... tachyarrhythmias #Cardiology ... #Algorithm #causes
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
flutter, ectopic ... Treat underlying cause ... flutter or MAT ... Treatment #management #cardiology ... #algorithm
Narrow Complex Tachycardias (Simplified)

Irregular Narrow Complex Tachycardia:
 1. Atrial fibrillation
	- Usually the correct answer
 2. Multifocal
Atrial fibrillation ... Multifocal Atrial ... Atrial flutter ... #differential #diagnosis ... #causes #cardiology