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cardiology diagnosis differential clinical aflutter atrial stemi comparison counterclockwise equivalents interpretation ischemia management reverse syncope wellens algorithm anesthesia anesthesiology benign
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Clockwise) Atrial Flutter ... on EKG Typical ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
) Atrial Flutter ... on EKG • Inferior ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Independent Atrial Flutter ... activity without typical ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Reverse Typical ... on EKG • Inferior ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Hypertrophic Cardiomyopathy (HOCM) - EKG Characteristics Typical EKG findings may include: • Deep and narrow Q waves
Characteristics Typical ... EKG findings may ... leads • General signs ... #ecg #clinical ... #cardiology #electrocardiogram
Deep T Wave Inversions - Differential Normal variants A. Juvenile T wave pattern
Typical patterns ... cardiomyopathy (Yamaguchi syndrome ... inversion syndrome ... Diagnosis #Causes #Cardiology ... #ECG #EKG #Electrocardiogram
Wellens Syndrome on EKG Associated with a critical stenosis of the proximal LAD, suggestive of impending infarction -
Wellens Syndrome ... on EKG Associated ... Present in pain-free state ... #EKG #ecg #cardiology ... #electrocardiogram
Wellens' Sign: LAD-T Wave Inversion Life threatening T wave inversions in precordial leads. Often V2-V3 Specific
Wellens' Sign: LAD-T ... maker' lesion Typically ... #Wellens #Sign # ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... T waves - starts ... #Ischemia #ECG ... #EKG #diagnosis ... #electrocardiogram
Benign T-wave Inversion (BTWI) vs. Wellens' • Usually in leads V3-V6 (vs. V2-V4 in Wellens'), but
often has STE typical ... are generally stable ... Inversion #BTWI #EKG ... #ECG #diagnosis ... #cardiology #electrocardiogram
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