10 results
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
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,
Tachyarrhythmia ... flutter, Junctional ... flutter w/ variable ... flutter with variable ... Differential #Diagnosis #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
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
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
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Bradyarrhythmias Tachyarrhythmias ... DANGER (4) Vfib/flutter ... flutter (3) ... absent P (2) A flutter ... electrocardiogram #cardiology
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
Clockwise (Right) Flutter ... flutter from the ... This appears as positively-directed ... #Diagnosis #ECG ... #EKG #Cardiology
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
(>100 bpm) - Narrow ... Tachycardia • Aflutter ... WPW) - Narrow ... • AFib • AFIutter ... #Cardiology #Differential
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable Narrow-Complex ... flutter, ectopic ... Control rate (e.g ... flutter or MAT ... Treatment #management #cardiology