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electrocardiogram clinical management tachycardia treatment algorithm arrhythmias counterclockwise endocarditis narrow narrowcomplex palpitations pathophysiology reverse stemi table abnormal anatomical aptt atrophicglossitis
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Flutter on EKG ... ) Atrial Flutter ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #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 ... on EKG • Inferior ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Flutter on EKG ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Atrial Flutter on EKG • Regularly-occurring atrial activity • ≥ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... EKG • Regularly-occurring ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #diagnosis
Counterclockwise and (Left) vs Clockwise (Right) Flutter Typical atrial flutter is counterclockwise in direction and originates from
Typical atrial ... Atypical atrial ... appearance on ECG ... #Diagnosis #ECG ... #EKG #Cardiology
Digoxin effect on Electrocardiogram (EKG) Digoxin is a cardiac glycoside from the foxglove leaf Mechanism - Inhibits Na-K
Electrocardiogram (EKG ... and atrial flutter ... Digoxin effect on ECG ... Electrocardiogram #EKG ... #ECG
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
DANGER (4) Vfib/flutter ... flutter (3) ... absent P (2) A flutter ... bradyarrhythmia #ECG ... #EKG #diagnosis
Causes of Tachycardia - Differential Diagnosis Algorithm Narrow Complex - Regular: • Sinus tachycardia • Atrial flutter
Causes of Tachycardia ... - Differential ... flutter • AV ... flutter with variable ... #Causes #cardiology
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
flutter, ectopic ... Control rate (e.g ... flutter or MAT ... Control rate (e.g ... Treatment #management #cardiology
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