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cardiology differential management electrocardiogram flutter treatment clinical tachycardia classification acute counterclockwise criticalcare edema endocarditis infectiousdiseases multifocal ncpe neurology noncardiogenic reverse
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
(Clockwise) Atrial ... Flutter on EKG ... ) Atrial Flutter ... (Clockwise) Atrial ... #ecg #ekg #electrocardiogram
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Isthmus Independent Atrial ... atrial activity ... without typical ... #ecg #ekg #electrocardiogram ... cardiology #clinical #diagnosis
Counterclockwise and (Left) vs Clockwise (Right) Flutter Typical atrial flutter is counterclockwise in direction and originates from
Typical atrial ... Atypical atrial ... appearance on ECG ... #Diagnosis #ECG ... #EKG #Cardiology
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
) Atrial Flutter ... on EKG • Inferior ... Counterclockwise #Atrial ... #ecg #ekg #electrocardiogram ... cardiology #clinical #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
(Clockwise) Atrial ... Flutter on EKG ... #Clockwise #Atrial ... #ecg #ekg #electrocardiogram ... cardiology #clinical #diagnosis
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
Multifocal Atrial ... Secondary to chronic lung ... • Hypoxia • Pulmonary ... #Multifocal #Atrial ... #ECG #EKG #Management
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... evaluating for other causes ... common finding) • Atrial ... also a result of atrial ... #EKG #Pulmonary
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
Typical ECG changes ... leads indicates atrial ... injury. stage 2 ... patients) stage 4 - ECG ... IM #Cardiology #EKG
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
convert - Possible atrial ... atrial tachycardia ... Control rate (e.g ... Rhythm: • Probable atrial ... Control rate (e.g
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
tachycardia (2) Atrial ... SVTs - atrial/junctional ... (3) Multifocal atrial ... bradyarrhythmia #ECG ... #EKG #diagnosis
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