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differential electrocardiogram clinical management atrial flutter endocarditis interpretation syncope typical anesthesia anesthesiology bradycardia chf counterclockwise criticalcare ctchest heartfailure intraoperative reverse
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")
on EKG • Inferior ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
on EKG • Inferior ... leads: "Positive ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
Secondary to chronic lung ... • Hypoxia • Pulmonary ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Counterclockwise and (Left) vs Clockwise (Right) Flutter Typical atrial flutter is counterclockwise in direction and originates from
Typical atrial flutter ... This appears as positively-directed ... appearance on ECG ... #Diagnosis #ECG ... #EKG #Cardiology
Approach to ECGs - Syncope Syndromes Electrolytes • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... P • ↑ Ca - short ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
TEE) • Chest CT ... if suspected (e.g ... Persistent fever, positive ... block (+/- daily EKG ... of infection (e.g
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... AV block 1º - long ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Chest X-Ray Interpretation Checklist Outline ALL bones Check soft tissues Assess heart borders Is density, behind the heart the same
Interpretation Checklist ... compare hilum position ... cervical rib Check lung ... #radiology #diagnosis ... #pulmonary
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