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Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Clockwise) Atrial Flutter ... on EKG Typical ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Independent Atrial Flutter ... CTI-independent flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Atrial Flutter on EKG • Regularly-occurring atrial activity • ≥ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... EKG • Regularly-occurring ... depolarizations (i.e. flutter ... #aflutter #ecg ... #cardiology #clinical
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial Flutter ... on EKG • Inferior ... Counterclockwise #Atrial #Flutter ... #aflutter #ecg ... #cardiology #clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Clockwise) Atrial Flutter ... on EKG • Inferior ... Clockwise #Atrial #Flutter ... #aflutter #ecg ... #cardiology #clinical
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves 2. Don't trust
cue to look for flutter ... #Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
A Lewis Lead (also called the S5 lead) is a modified ECG lead used to detect
detect atrial flutter ... waves when atrial flutter ... is suspected clinically ... #Cardiology #EKG ... Lead #Placement #Flutter
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... Possible atrial flutter ... Treat underlying cause ... Treat underlying cause ... #management #cardiology
Digoxin effect on Electrocardiogram (EKG) Digoxin is a cardiac glycoside from the foxglove leaf Mechanism - Inhibits Na-K
Electrocardiogram (EKG ... nodal conduction Uses ... fibrillation and atrial flutter ... Electrocardiogram #EKG ... #Cardiology #Digitalis
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
DANGER (4) Vfib/flutter ... (2) Atrial flutter ... 200ms from longer pause ... #EKG #diagnosis ... electrocardiogram #cardiology
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