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diagnosis clinical electrocardiogram atrial tachycardia typical algorithm counterclockwise management reverse bradyarrhythmia bradycardia classification clockwise comparison echocardiogram emergency independent irregular isthmus
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 ... 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 ... on EKG • Inferior ... Counterclockwise #Atrial #Flutter ... #aflutter #ecg ... #ekg #electrocardiogram
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 ... #ekg #electrocardiogram
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 ... Diagnosis #Management #cardiology
Counterclockwise and (Left) vs Clockwise (Right) Flutter Typical atrial flutter is counterclockwise in direction and originates from
Typical atrial flutter ... This appears as positively-directed ... appearance on ECG ... #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 ... bradyarrhythmia #ECG ... #EKG #diagnosis
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable Narrow-Complex ... Possible atrial flutter ... Control rate (e.g ... possible atrial flutter ... Control rate (e.g
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Paroxysmal AF, atrial flutter ... Atrial fibrillation/flutter ... Valvular disease (e.g ... #Palpitations #Cardiology
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
for assessing an ECG ... WOBBLER: Each letter ... section of the ECG ... waves are small positive ... #cardiology #differential
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