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ecg typical counterclockwise reverse bradyarrhythmia bradycardia cheatsheet clockwise comparison differential evaluation independent interpretation isthmus perioperative preoperative risk sign stratification system
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Flutter on EKG ... Flutter • Inferior ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Atrial Flutter on EKG • Regularly-occurring atrial activity • ≥ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... depolarizations (i.e. flutter ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Flutter • Rapid ... CTI-independent flutter ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Flutter on EKG ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Flutter on EKG ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
DANGER (4) Vfib/flutter ... flutter (3) ... absent P (2) A flutter ... #EKG #diagnosis ... #electrocardiogram
Wellens' Sign: LAD-T Wave Inversion Life threatening T wave inversions in precordial leads. Often V2-V3 Specific
Sign: LAD-T Wave Inversion ... Specific for critical ... Serial EKGS in pts ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
(e.g. ectopic atrial ... Flutter PR Interval ... @AmyChung #EKG ... #Electrocardiogram ... #cardiology #diagnosis
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Obtain EKG if: ... Change in clinical ... one post op Cardiology ... • Preoperative coronary ... stratification #diagnosis
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