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diagnosis ekg clinical electrocardiogram atrial causes tachycardia typical algorithm counterclockwise management palpitations reverse anatomical bradyarrhythmia bradycardia classification clockwise comparison echocardiogram
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Clockwise) Atrial Flutter ... Clockwise) Atrial Flutter ... Counterclockwise #Atrial #Flutter ... #aflutter #ecg ... #cardiology #clinical
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 ... #cardiology #clinical
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial Flutter ... Isoelectric segment with positive ... 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 ... leads: "Positive ... Clockwise #Atrial #Flutter ... #aflutter #ecg ... #cardiology #clinical
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
Counterclockwise and (Left) vs Clockwise (Right) Flutter Typical atrial flutter is counterclockwise in direction and originates from
Clockwise (Right) Flutter ... Typical atrial flutter ... This appears as positively-directed ... flutter waves in ... #EKG #Cardiology
Causes of Palpitations • ARRHYTHMiA • SINUS ARRYTHMIA • ATRIAL FIBRILLATION • ATRIAL
Palpitations • ARRHYTHMiA ... • SINUS ARRYTHMIA ... FIBRILLATION • ATRIAL FLUTTER ... Palpitations #Causes #Differential ... #Diagnosis #Cardiology
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
Arrhythmias - Differential ... Tachycardia • Aflutter ... • AFib • AFIutter ... tachyarrhythmias #Cardiology ... #Differential #
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
Anatomical Differential Diagnosis for Arrhythmias • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS) • AV
Anatomical Differential ... Diagnosis for Arrhythmias ... (PACs), Atrial Flutter ... #Anatomical #Differential ... Diagnosis #Causes #cardiology
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