19 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Atrial Flutter on EKG ... Isoelectric segment with positive ... leads: "Positive ... #cardiology #clinical ... #diagnosis #comparison
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Specific for critical ... becoming acute anterior ... maker' lesion Typically ... #Diagnosis #Cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... POCUS (apical window ... Echocardiogram #A4c #clinical ... #cardiology #McConnells
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
activity without typical ... atrial circuit • Positive ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Typical (Counterclockwise ... • Inferior leads ... Isoelectric segment with positive ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Reverse Typical ... • Inferior leads ... : "Positive" waves ... #cardiology #clinical ... #diagnosis
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... Pads in AP position ... #bradycardia #diagnosis ... #differential # ... management #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
continues into tall, positive ... V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis ... #differential #
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... the case as Typical ... excludes other differentials ... that’s called “clinical
Evaluation of suspected incomplete Kawasaki Disease

1. AHA consensus recommendations
2. Infants ≤6 months old on day ≥7
if they have no clinical ... If echo is positive ... and lab signs ( ... Typical peeling ... #Diagnosis #Peds