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Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
up, slow down; "negative ... • V1: Broad & 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")
Counterclockwise) Atrial Flutter ... 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
Clockwise) Atrial Flutter ... • V1: Broad & negative ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... DANGER (4) Vfib/flutter ... (2) Atrial flutter ... #electrocardiogram ... #cardiology #differential
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... >1 of V1-V3 + negative ... Syncope #Syndromes #ECG ... #diagnosis #cardiology ... #electrocardiogram
The JT Interval and Pro-Arrhythmic Risk
Measured from the J-point to the end of the T-wave, the
Bundle Branch Block ... Bundle Branch Block ... with QRS ≥120 ms ... JTInterval #QTc #electrocardiogram ... #ecg #cardiology
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
interval ≥ 120 ms ... Saw-Tooth = Atrial Flutter ... Interpretation #ECG ... #Electrocardiogram ... #cardiology #diagnosis
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... ) - HiPR: AV block ... Short QT <300-360 ms ... #electrocardiogram ... #cardiology #interpretation
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
(electrocardiogram ... WOBBLER: Each letter ... : Bifascicular Block ... A bifascicular block ... #cardiology #differential