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anesthesia anesthesiology checklist clinical intraoperative workup differential ecg aflutter atrial echocardiogram typical counterclockwise endocarditis reverse arrest bradycardia cardiacarrest cardiomyopathy chestpain
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
on EKG Typical ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
atrial circuit • Positive ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Isoelectric segment with positive ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
leads: "Positive ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Counterclockwise and (Left) vs Clockwise (Right) Flutter Typical atrial flutter is counterclockwise in direction and originates from
the tricuspid valve ... This appears as positively-directed ... appearance on ECG ... #Diagnosis #ECG ... #EKG #Cardiology
Echocardiogram Windows - Nomenclature Each view is described using three (3) components 1) Transducer Position or "Window"
1) Transducer Position ... ., LAX, SAX, or4C ... ., Mitral valve ... #Nomenclature #POCUS ... #cardiology #views
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... 85% of predicted value ... : EKG ($), ECHO ... Stress #Testing #cardiology ... #management #diagnosis
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
• Prosthetic valve ... Blood cultures are positive ... : • New cardiac ... ↑ ESR, CRP • EKG ... #management #cardiology
Intracardiac Rhabdomyomas on Echocardiogram Huge cardiac masses...initially diagnosed in utero, mass just beneath the aortic valve Anguished
Echocardiogram Huge cardiac ... masses...initially diagnosed ... beneath the aortic valve ... Echocardiogram #clinical #cardiology ... #pocus #plax
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 Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Paroxysmal AF, atrial flutter ... Atrial fibrillation/flutter ... failure • Mitral valve ... Mechanical prosthetic valve ... #Palpitations #Cardiology
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