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ECG Basics - Atrial Rhythms #Cardiology #MedStudent #EKG #Atrial #SVT #Comparison #Table #AFib #AFlutter #MAT #WAP
Rhythms #Cardiology ... #MedStudent #EKG ... #Table #AFib #AFlutter ... #MAT #WAP #WPW ... #SVT #ECGEducator
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Isoelectric segment with positive ... Inferior leads: "Positive ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Independent Atrial Flutter ... atrial circuit • Positive ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial Flutter ... Isoelectric segment with positive ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Clockwise) Atrial Flutter ... leads: "Positive ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
abberancy - N B Afib + WPW ... (2) Atrial flutter ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Possible atrial flutter ... with caution in pulmonary ... possible atrial flutter ... Tachycardia #Treatment #management ... #cardiology #algorithm
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Paroxysmal AF, atrial flutter ... Atrial fibrillation/flutter ... Pheochromocytoma • Pulmonary ... (VT/Vfib/Afib/WPW ... #Palpitations #Cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Blood cultures are positive ... Cerebral > Splenic, pulmonary ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
(electrocardiogram ... WOBBLER: Each letter ... intervals • WPW ... waves are small positive ... #cardiology #differential