23 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Flutter on EKG ... Flutter • Inferior ... Flutter • Inferior ... #ekg #electrocardiogram ... #cardiology #clinical
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Specific for critical ... becoming acute anterior ... Serial EKGS in pts ... Wellens #Sign #EKG ... #Diagnosis #Cardiology
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
with probable inferior ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
#Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Isthmus Independent Atrial ... without typical inferior ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
Bubble Contrast Echocardiogram ... patient with an anterior ... Ivan_Echocardio #atrial ... #a4c #clinical ... #cardiology #pocus
Inferior Regional Wall Motion Abnormalities on POCUS Echocardiogram

Older male with chest pain, diaphoresis. ECG with concerning
Inferior Regional ... Abnormalities on POCUS Echocardiogram ... ECG with concerning ... Abnormality #POCUS #Echocardiogram ... #clinical #cardiology
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial ... Flutter on EKG ... • Inferior leads ... Counterclockwise #Atrial ... #cardiology #clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Typical (Clockwise) Atrial ... Flutter on EKG ... • Inferior leads ... Typical #Clockwise #Atrial ... #cardiology #clinical
De Winter's T-waves in precordial leads and ST elevation in inferior leads.  There are already
ST elevation in inferior ... supplying the inferior ... addition to the anterior ... #Clinical #EM #Cardiology ... #EKG #DeWinter