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cardiology aflutter atrial physicalexam awaves comparison differential management treatment typical arrhythmia atrioventricular blocks cannon classification counterclockwise criticalcare cvp hyperkalemia neck
Antecubital Vein examination to estimate JVP/CVP In this video, the antecubital veins move between Below [RA +
E.g. in a cold room ... > overestimate JVP ... in rare cases (neck ... #PhysicalExam #JVP ... #estimation #Clinical
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 Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
on EKG Typical ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
on EKG • Inferior ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Independent Atrial Flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
on EKG • Inferior ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Atrial Flutter on EKG • Regularly-occurring atrial activity • ≥ 240 atrial depolarizations (i.e. flutter waves)
EKG • Regularly-occurring ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Left Anterior Fascicular Block on EKG • Left axis deviation (LAD) (-45 degrees to -90 degrees)
Anterior Fascicular Block ... on EKG • Left ... #diagnosis #cardiology ... #EKG #ECG #Electrocardiogram ... #labeled #clinical
Cannon A waves during AVNRT on Physical Exam In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... that’s called “clinical ... #PhysicalExam #JVP ... #Cardiology #Neck
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 Cannon A Waves on Neck Examination Cannon a waves! Notice that it occurs randomly, not predictably w/
Neck Examination ... AV dissociation ... : 3rd deg AV block ... #Neck #PhysicalExam ... #JVP #Clinical
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 Cannon A Waves • Caused by atrial contracting against a closed tricuspid valve • Atrioventricular dissociation
Atrioventricular dissociation ... it indicates AV dissociation ... activation from SVT (e.g ... #diagnosis #cardiology ... #CVP
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