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Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
on EKG Typical ... • Inferior leads ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Localization of MI by ECG Leads #Diagnosis #EM #IM #Cardiology #EKG #Localization #Leads
Localization of MI by ECG ... Leads #Diagnosis ... #EM #IM #Cardiology ... #EKG #Localization ... #Leads
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
in the inferior leads ... in the inferior leads ... appearance on ECG ... #Diagnosis #ECG ... #EKG #Cardiology
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
on EKG • Inferior ... leads: Sawtooth ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
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
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
cue to look for flutter ... #Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Independent Atrial Flutter ... CTI-independent flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
A Lewis Lead (also called the S5 lead) is a modified ECG lead used to detect
detect atrial flutter ... waves when atrial flutter ... is suspected clinically ... Lewis Lead is then read ... #Cardiology #EKG
Atrial Flutter on EKG
 • Regularly-occurring atrial activity
 • ≥ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... EKG • Regularly-occurring ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
Typical ECG changes ... of PR in other leads ... left heart V5, V6 leads ... inverted #Diagnosis #EM ... IM #Cardiology #EKG