13 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Clockwise) Atrial Flutter ... Counterclockwise) Atrial Flutter ... Clockwise) 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 ... atrial circuit • Positive ... #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
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular
Narrow - Regular:
Use P
Positive deflection ... If see flutter p ... • Atrial Flutter ... If not Flutter P ... #cardiology #wide
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
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 ... #Diagnosis #ECG ... #EKG #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
Supraventricular Tachycardia (SVT) - Differential Diagnosis Framework and Management

Regular SVT: Sinus Tachycardia, AVNRT, AVRT, Atrial Flutter,
Tachycardia (SVT) - Differential ... , AVRT, Atrial Flutter ... semi-recumbent position ... Tachycardia #SVT #Differential ... #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Possible atrial flutter ... Control rate (e.g ... possible atrial flutter ... Tachycardia #Treatment #management ... #cardiology #algorithm
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Chest Pain • ECG ... Pads in AP position ... bradycardia #diagnosis #differential ... #management #cardiology