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cardiology differential clinical management flutter treatment workup nephrology typical anesthesia anesthesiology checklist comparison counterclockwise hypoxia intraoperative pulmonary reverse secondary syndrome
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Typical (Clockwise) Atrial ... Flutter on EKG ... Counterclockwise) Atrial ... #ecg #ekg #electrocardiogram ... cardiology #clinical #diagnosis
Atrial Flutter on EKG • Regularly-occurring atrial activity • ≥ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... EKG • Regularly-occurring ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... cardiology #clinical #diagnosis
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Isthmus Independent Atrial ... atrial activity ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... cardiology #clinical #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial ... Flutter on EKG ... Counterclockwise #Atrial ... #ecg #ekg #electrocardiogram ... cardiology #clinical #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Typical (Clockwise) Atrial ... Flutter on EKG ... Typical #Clockwise #Atrial ... #ecg #ekg #electrocardiogram ... cardiology #clinical #diagnosis
Digoxin effect on Electrocardiogram (EKG) Digoxin is a cardiac glycoside from the foxglove leaf Mechanism - Inhibits Na-K
(EKG) Digoxin ... and atrial flutter ... Digoxin effect on ECG ... #EKG #Cardiology ... #Digitalis #ECG
Premature atrial complex (PAC) - ECG Recognition • Prematurity and altered P wave morphology. • P
Premature atrial ... complex (PAC) - ECG ... is close to the SAN ... complexes #cardiology #diagnosis ... #ekg #ecg #electrocardiogram
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... 200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis ... #electrocardiogram
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... EKG is helpful in ... evaluating for other causes ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Treat underlying cause ... Control rate (e.g ... Treat underlying cause
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