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diagnosis ekg electrocardiogram clinical tachycardia algorithm counterclockwise differential management reverse bradyarrhythmia bradycardia classification clockwise comparison independent irregular isthmus narrowcomplex stable
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Flutter on EKG ... ) Atrial Flutter ... Flutter • Inferior ... #Flutter #aflutter ... #cardiology #clinical
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Flutter • Rapid ... without typical ... CTI-independent flutter ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
) Atrial Flutter ... Isoelectric segment with positive ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Flutter on EKG ... Inferior leads: "Positive ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Counterclockwise and (Left) vs Clockwise (Right) Flutter Typical atrial flutter is counterclockwise in direction and originates from
Typical atrial ... flutter from the ... This appears as positively-directed ... Atypical atrial ... #EKG #Cardiology
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
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... DANGER (4) Vfib/flutter ... flutter (3) ... absent P (2) A flutter ... electrocardiogram #cardiology
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
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