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clinical counterclockwise differential reverse tachycardia awaves bradycardia cannon clockwise frog independent isthmus jvp multifocal neck pacemaker palpitations physicalexam rhythm sign
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Flutter on EKG ... ) Atrial Flutter ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #diagnosis #comparison
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
) Atrial Flutter ... on EKG • Inferior ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Flutter on EKG ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Flutter • Rapid ... without typical ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #diagnosis
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
DANGER (4) Vfib/flutter ... flutter (3) ... absent P (2) A flutter ... #ECG #EKG #diagnosis ... #electrocardiogram
Cannon A waves during AVNRT on Physical Exam In AVNRT, the atria and ventricles contract nearly simultaneously
the atria and ventricles ... EKG of the same ... the case as Typical ... #JVP #Cardiology ... #Neck #Frog #Sign
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 Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
in the chest or neck ... exam • 12-lead ECG ... flutter, or atrial ... /flutter • Bradycardia ... Valvular disease (e.g
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia: Belong to a group
of a variable P-wave ... contrast to AV dissociation ... #cardiology #ekg ... #ecg #electrocardiogram ... #comparison
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