23 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Flutter on EKG ... leads: "Positive ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload “D Sign” EI
D-Sign on Ultrasound ... ” EI > 1 - POCUS ... #Ultrasound #echocardiogram ... #psax #diagnosis ... #cardiology #pocus
POCUS Pearls for Tamponade
- Pericardial Effusion
- Diastolic Right Ventricular Collapse
- Systolic Right Atrial Collapse
- Plethoric Inferior
Systolic Right Atrial ... #Diagnosis #Evaluation ... #Cardiology #Effusion ... #Echocardiogram ... #Ultrasound
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
flutter waves in the inferior ... This appears as positively-directed ... flutter waves in the inferior ... #Diagnosis #ECG ... #EKG #Cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... becoming acute anterior ... Serial EKGS in pts ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
without typical inferior ... circuit • Positive ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Echocardiogram ... Triage EKG (no prior ... Differential/diagnosis ... #Echocardiogram ... A4c #clinical #cardiology
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
due to SAM on POCUS ... Echocardiogram ... Diagnosis? ... #Systolic #Anterior ... #ultrasound #Cardiology
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Flutter on EKG ... • Inferior leads ... Isoelectric segment with positive ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Flutter on EKG ... • Inferior leads ... : "Positive" waves ... #cardiology #clinical ... #diagnosis