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cardiology clinical ekg electrocardiogram algorithm atrial management msk tachycardia arrhythmias counterclockwise edema endocarditis mri narrow palpitations physicalexam reverse sign syncope
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Clockwise) Atrial Flutter ... on EKG Typical ... Counterclockwise) Atrial Flutter ... #aflutter #ecg ... #diagnosis #comparison
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Independent Atrial Flutter ... CTI-independent flutter ... • Negative F ... #aflutter #ecg ... #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
) Atrial Flutter ... up, slow down; "negative ... Counterclockwise #Atrial #Flutter ... #aflutter #ecg ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Clockwise) Atrial Flutter ... • V1: Broad & negative ... Clockwise #Atrial #Flutter ... #aflutter #ecg ... #diagnosis
Counterclockwise and (Left) vs Clockwise (Right) Flutter Typical atrial flutter is counterclockwise in direction and originates from
Typical atrial ... This results in negatively-directed ... appearance on ECG ... #Diagnosis #ECG ... #EKG #Cardiology
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 ... #differential
Causes of Tachycardia - Differential Diagnosis Algorithm Narrow Complex - Regular: • Sinus tachycardia • Atrial flutter
Causes of Tachycardia ... - Differential ... tachycardia • Atrial flutter ... tachycardia • Atrial flutter ... #Causes #cardiology
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
Arrhythmias - Differential ... Diagnosis Algorithm ... Tachycardia • Aflutter ... • AFib • AFIutter ... #causes
Deep T Wave Inversions - Differential Normal variants A. Juvenile T wave pattern
Wave Inversions - Differential ... Typical patterns ... TWaveInversions #TWI #Differential ... #Diagnosis #Causes ... #Cardiology #ECG
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular Regular Rhythm - Narrow Complex
Tachycardia - Differential ... Diagnosis Table ... (AVNRT, OAVRT, AFIutter ... Tachycardia: • AFib > AFIutter ... #cardiology
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