10 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
on EKG Typical ... DrEricStrong - Strong Medicine ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis #comparison
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
DrEricStrong - Strong Medicine ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
on EKG • Inferior ... DrEricStrong - Strong Medicine ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
on EKG • Inferior ... DrEricStrong - Strong Medicine ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Atrial Flutter on EKG
 • Regularly-occurring atrial activity
 • ≥ 240 atrial depolarizations (i.e. flutter waves)
waves) / min ... DrEricStrong - Strong Medicine ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
Hyperkalemia on EKG ... counting of HR by EKG ... manifestations and risk ... DrEricStrong - Strong Medicine ... #cardiology #diagnosis
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... - Widespread T wave ... segments, usually best ... DrEricStrong - Strong Medicine ... #cardiology #diagnosis
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
An abrupt rise in ... EKG of the same ... are enough to diagnose ... electrophysiology study ... PhysicalExam #JVP #Cardiology
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... Saw-Tooth = Atrial Flutter ... with increased risk ... Electrocardiogram #cardiology ... #diagnosis #system
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
determine if stress test ... Obtain EKG if: ... Intraabdominal - Orthopedic ... one post op Cardiology ... stratification #diagnosis