11 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Flutter on EKG ... Isoelectric segment with positive ... leads: "Positive ... #cardiology #clinical ... #diagnosis #comparison
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
circuit • Positive ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
Typical atrial ... This appears as positively-directed ... appearance on ECG ... #Diagnosis #ECG ... #EKG #Cardiology
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Flutter on EKG ... Isoelectric segment with positive ... #Flutter #aflutter ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Flutter on EKG ... Inferior leads: "Positive ... #Flutter #aflutter ... #cardiology #clinical ... #diagnosis
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
stage 1 - diffuse, positive ... leads indicates atrial ... indefinitely inverted #Diagnosis ... #EM #IM #Cardiology ... #EKG #Pericarditis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Blood cultures are positive ... Diagnosis? ... ↑ ESR, CRP • EKG ... #cardiology
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... ) EM resident ... Admit ==> Positive ... echocardiogram #plax #cardiology ... #pocus
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Libman Sacks) • Atrial ... Blood cultures are positive ... cases Culture Positive ... ↑ ESR, CRP • EKG ... #cardiology #infectiousdiseases
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
WOBBLER: Each letter ... to focus on ... Epsilon #clinical #diagnosis ... waves are small positive ... #cardiology #differential