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differential ecg electrocardiogram tachycardia algorithm atrial causes clinical irregular narrow svt typical vtach wide arrhythmias counterclockwise management reverse ventriculartachycardia aberrancy
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Clockwise) Atrial Flutter ... Counterclockwise #Atrial #Flutter ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis #comparison
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Independent Atrial Flutter ... CTI-independent flutter ... Independent #Atrial #Flutter ... #aflutter #ecg ... #cardiology #clinical
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial Flutter ... Counterclockwise #Atrial #Flutter ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Clockwise) Atrial Flutter ... Clockwise #Atrial #Flutter ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular Narrow - Regular: Use P
deflection not AVRT ... • Atrial Flutter ... If not Flutter P ... Regular: Assume VT ... #Management #cardiology
Counterclockwise and (Left) vs Clockwise (Right) Flutter Typical atrial flutter is counterclockwise in direction and originates from
Typical atrial flutter ... This results in negatively-directed ... flutter waves in ... #Diagnosis #ECG ... #EKG #Cardiology
Vereckie Algorithm - Lead aVR - Ventricular Tachycardia - Telemetry Diagnosis WCT is VT IF: • Initial
Algorithm - Lead aVR ... WCT is VT IF: ... downstroke of negative ... #diagnosis #cardiology ... #ekg #ecg #telemetry
Tachycardia - Differential Diagnosis Framework Narrow-Complex: • Regular: Sinus Tachycardia, Junctional Tachycardia, Atrial Tachycardia, Atrial Flutter, AVRT
Tachycardia, Atrial Flutter ... , AVRT (ie. ... (MAT), Atrial Flutter ... Irregular: Polymorphic VT ... #cardiology #wide
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
- Differential Diagnosis ... Tachycardia • Aflutter ... AVNRT • AVRT ... • AFib • AFIutter ... tachyarrhythmias #Cardiology
Approach to ECGs - VT vs. SVT - Wide Tachycardias DDx = VT vs. SVT with BBB All
is positive in aVR ... and negative in ... #Comparison #VentricularTachycardia ... #Versus #ecg #ekg ... #cardiology #diagnosis
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