16 results
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular
Narrow - Regular:
Use P
vs Irregular Narrow ... Positive deflection ... • Atrial Flutter ... Narrow - Irregular ... Diagnosis #Management #cardiology
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Flutter on EKG ... Flutter • Inferior ... Flutter • Inferior ... #Flutter #aflutter ... #cardiology #clinical
Tachycardia - Differential Diagnosis Framework
Narrow-Complex:
 • Regular: Sinus Tachycardia, Junctional Tachycardia, Atrial Tachycardia, Atrial Flutter, AVRT
Diagnosis Framework Narrow-Complex ... Flutter, AVRT ( ... Flutter (w/ variable ... Differential #Diagnosis #cardiology ... #wide #narrow #
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Flutter • Rapid ... CTI-independent flutter ... circuit • Positive ... #Flutter #aflutter ... #cardiology #clinical
Tachyarrhythmia Framework - Differential Diagnosis
 • Narrow QRS - Regular Rhythm: Sinus tachycardia, AVNRT, Orthodromic AVRT,
flutter, Junctional ... QRS - Irregular ... flutter w/ variable ... flutter with variable ... Differential #Diagnosis #cardiology
Causes of Tachycardia - Differential Diagnosis Algorithm
Narrow Complex - Regular:
 • Sinus tachycardia
 • Atrial flutter
Diagnosis Algorithm Narrow ... flutter • AV ... Junctional tachycardia Narrow ... flutter with variable ... Algorithm #Causes #cardiology
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial ... Flutter on EKG ... Isoelectric segment with positive ... #Flutter #aflutter ... #cardiology #clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Typical (Clockwise) Atrial ... Flutter on EKG ... Inferior leads: "Positive ... #Flutter #aflutter ... #cardiology #clinical
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
(>100 bpm) - Narrow ... Tachycardia • Aflutter ... WPW) - Narrow ... • AFib • AFIutter ... tachyarrhythmias #Cardiology
Narrow Complex Tachycardias (Simplified)

Irregular Narrow Complex Tachycardia:
 1. Atrial fibrillation
	- Usually the correct answer
 2. Multifocal
Simplified) Irregular ... Narrow Complex ... Atrial fibrillation ... Atrial flutter ... diagnosis #causes #cardiology