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diagnosis ecg clinical flutter aflutter jvp neck physicalexam video counterclockwise multifocal pacemaker reverse rhythm sign sinus tachycardia types variants wandering
Canon A waves in a patient with AV dissociation Occurs due to the simultaneous contraction of atria
Canon A waves in ... pressure → pressure wave ... exaggerated A wave ... #Awaves #waves ... #cardiology #Canon
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 Cannon A Waves • Caused by atrial contracting against a closed tricuspid valve • Atrioventricular dissociation
Cannon A Waves ... a wave usually ... activation from SVT (e.g ... #AWaves #diagnosis ... #cardiology #CVP
Cannon A Waves on Neck Examination Cannon a waves! Notice that it occurs randomly, not predictably w/
Cannon A Waves on ... Cannon a waves ... Cannon a waves indicate ... #AWaves #Neck # ... PhysicalExam #JVP
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 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 ... a waves are enough ... #Awaves #AVNRT ... #Cardiology #Neck
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 Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
leads: Sawtooth waves ... with positive "p waves ... leads: "Positive" waves ... & negative "P waves ... #ekg #electrocardiogram
Multifocal Atrial Arrhythmias on ECG Multifocal atrial rhythm & Multifocal atrial tachycardia ECG Recognition: • Variable P wave
• Variable P wave ... The change in P wave ... • Some P waves ... Some conducted P waves ... Some conducted P waves
Atrial Flutter on Neck Examination If you can dx this rhythm, you are born before 1960. Early
being the "c" wave ... accentuated the "a" wave ... single large “a/c” wave ... a wave. ... we see flutter waves
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 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 ... Flutter #aflutter #ecg ... #ekg #electrocardiogram
Counterclockwise and (Left) vs Clockwise (Right) Flutter Typical atrial flutter is counterclockwise in direction and originates from
negatively-directed flutter waves ... positively-directed flutter waves ... to the flutter waves ... #Diagnosis #ECG ... #EKG #Cardiology
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
on EKG • Inferior ... leads: Sawtooth waves ... with positive "p waves ... Flutter #aflutter #ecg ... #ekg #electrocardiogram
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