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diagnosis ecg clinical atrial flutter stemi typical bradycardia comparison counterclockwise embolism equivalents management pulmonary reverse a4c algorithm avnrt awaves bradyarrhythmia
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
on EKG Typical ... up, slow down; "negative ... #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 ... • Negative F ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
on EKG • Inferior ... up, slow down; "negative ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
on EKG • Inferior ... • V1: Broad & negative ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Pulmonary Embolism on POCUS Echocardiogram Mid 30's female with chest pain/dyspnea. Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology ... #McConnells #sign
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 Approach to ECGs - VT vs. SVT - Wide Tachycardias DDx = VT vs. SVT with BBB All
entirely positive or negative ... - Brugada's sign ... - Josephson's sign ... #ekg #cardiology ... #diagnosis #electrocardiogram
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
(2) Atrial flutter ... bradyarrhythmia #ECG ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential
Approach to ECGs - Syncope Syndromes Electrolytes • ↑K - brady, peak T, wide QRS, no P,
>1 of V1-V3 + negative ... #EKG #Checklist ... #diagnosis #cardiology ... #electrocardiogram ... #differential
Kussmaul's Sign - Differential Diagnosis Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... inspiration as the negative ... #physicalexam # ... diagnosis #cardiology ... #differential #
Cannon A waves during AVNRT on Physical Exam In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... excludes other differentials ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
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