17 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
up, slow down; "negative ... • V1: Broad & negative ... Counterclockwise #Atrial #Flutter ... #ekg #electrocardiogram ... #cardiology #clinical
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Independent Atrial Flutter ... CTI-independent flutter ... • Negative F ... #ekg #electrocardiogram ... #cardiology #clinical
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial Flutter ... up, slow down; "negative ... Counterclockwise #Atrial #Flutter ... #ekg #electrocardiogram ... #cardiology #clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Clockwise) Atrial Flutter ... • V1: Broad & negative ... Clockwise #Atrial #Flutter ... #ekg #electrocardiogram ... #cardiology #clinical
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
DANGER (4) Vfib/flutter ... (2) Atrial flutter ... absent P (2) A flutter ... EKG #diagnosis #electrocardiogram ... #cardiology #differential
Causes of blood culture negative infective endocarditis

Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
blood culture negative ... BCNIE #Causes #differential ... causes #culture #negative ... InfectiousDiseases #Microbiology ... #CNIE #BCNIE #cardiology
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Syncope - Differential ... Contractility: • MI ... VFib • AFib/AFlutter ... Syndrome #Syncope #Cardiology ... #Differential #
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
for diagnosing MI ... : odd QRS from native ... different QRS from native ... Checklist #EKG #electrocardiogram ... #ecg #cardiology
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
>1 of V1-V3 + negative ... Checklist #diagnosis #cardiology ... #electrocardiogram ... #differential
Focal Periphyseal Edema (FOPE lesion) - MSK Radiology
Imaging Findings:
 • Arrows identifying the characteristic edema-like signal
lesion) - MSK Radiology ... peers and may negatively ... repeated follow-up MRI ... (save $$) Differential ... lesion #clinical #mri