24 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
leads: Sawtooth waves ... & negative "P waves ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
leads: "Positive" waves ... & negative "P waves ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Hypokalemia on EKG 

Patient presenting with severe weakness.  Patient had GI bug with vomiting/diarrhea.
Has flattened t-waves ... and prominent U waves ... RJonesSonoEM #UWaves ... #ECG #Electrocardiogram ... #cardiology #clinical
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
inferior sawtooth waves ... • Negative F waves ... • Positive F waves ... #aflutter #ecg ... #ekg #electrocardiogram
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
leads: Sawtooth waves ... with positive "p waves ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
waves in the inferior ... the circuit can reverse ... waves in the inferior ... waves. ... #Classification
Atrial Flutter on Neck Examination

If you can dx this rhythm, you are born before 1960. 
Early
Neck Examination ... being the "c" wave ... waves at double ... #Neck #PhysicalExam ... #JVP #Clinical
Atrial Flutter on EKG
 • Regularly-occurring atrial activity
 • ≥ 240 atrial depolarizations (i.e. flutter waves)
EKG • Regularly-occurring ... waves) / min ... #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 ... waves 2. ... #Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
Cannon A waves during ... EKG of the same ... rapid cannon a waves ... Hussainch #Cannon #Awaves ... #Cardiology #Neck