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diagnosis ecg clinical differential svt typical algorithm arrhythmias causes comparison counterclockwise management reverse supraventricular afib anatomical atrialtachycardia avnrt bradyarrhythmia bradycardia
Comparison of Multifocal Atrial Tachycardia, Atrial Fibrillation and Atrial Flutter Multifocal Atrial Tachycardia - Atrial Rate >
Tachycardia, Atrial ... Flutter Multifocal ... Atrial Tachycardia ... Flutter - Atrial ... "Saw tooth" flutter
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Flutter on EKG ... Flutter • Inferior ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Atrial Flutter on EKG • Regularly-occurring atrial activity • ≥ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... depolarizations (i.e. flutter ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Flutter • Rapid ... CTI-independent flutter ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Supraventricular Tachycardias - Pathophysiology Conduction pathways through SA Node, Atrium, AV Node, Bundle of His, and Ventricle
pathways through SA ... Node, Atrium, AV ... • Atrial Tachycardia ... • Atrial Flutter ... SVT #diagnosis #cardiology
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial ... Flutter on EKG ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Typical (Clockwise) Atrial ... Flutter on EKG ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
DANGER (4) Vfib/flutter ... flutter (3) ... absent P (2) A flutter ... #electrocardiogram ... #cardiology #differential
Anatomical Differential Diagnosis for Arrhythmias • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS) • AV
Arrhythmias • SA ... > 100 bpm) • SA ... (PACs), Atrial ... Flutter (AFL), Atrial ... Diagnosis #Causes #cardiology
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
Sinus Syndrome • SA ... • Aflutter ... • AFib • AFIutter ... Tachycardia - ... tachyarrhythmias #Cardiology
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