18 results
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
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
leads: "Positive ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
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
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
the tricuspid valve ... the circuit can reverse ... This appears as positively-directed ... #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
85% of predicted value ... Avoid in pts with severe ... : EKG ($), ECHO ... Stress #Testing #cardiology ... #management #diagnosis
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
Saw-Tooth = Atrial Flutter ... • U waves = severe ... @AmyChung #EKG ... #Electrocardiogram ... #cardiology #diagnosis
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Differential/diagnosis ... See thread for POCUS ... Patient had severe ... #EKG #Electrocardiogram ... #clinical #cardiology
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 ... ↑ ESR, CRP • EKG ... Persistent bacteremia/fevers ... #management #cardiology