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Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Clockwise) Atrial 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
Independent Atrial Flutter ... CTI-independent flutter ... Independent #Atrial #Flutter ... #aflutter #ecg ... #ekg #electrocardiogram
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial Flutter ... Counterclockwise #Atrial #Flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Clockwise) Atrial Flutter ... leads: "Positive ... Clockwise #Atrial #Flutter ... #aflutter #ecg ... #ekg #electrocardiogram
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular
Narrow - Regular:
Use P
Positive deflection ... • Atrial Flutter ... see P, either Flutter ... If not Flutter P ... Diagnosis #Management #cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
DANGER (4) Vfib/flutter ... (2) Atrial flutter ... absent P (2) A flutter ... #electrocardiogram ... #cardiology #differential
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
SVT - Wide Tachycardias ... (i.e. entirely positive ... VT #VTach #SVT #Comparison ... #ekg #cardiology ... #diagnosis #electrocardiogram
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
Saw-Tooth = Atrial Flutter ... > 40 ms (1 mm) wide ... Interpretation #ECG ... #Electrocardiogram ... #cardiology #diagnosis
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
for assessing an ECG ... (electrocardiogram ... WOBBLER: Each letter ... waves are small positive ... #cardiology #differential