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clinical atrial aflutter sinus differential multifocal pacemaker rhythm tachycardia typical wandering cannon counterclockwise criticalcare management reverse treatment variants acutepe arrhythmias
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
Comparison between Wandering atrial pacemaker (A) vs multifocal atrial arrhythmia (B) #WAP #MAR #wandering #atrial #pacemaker #comparison
multifocal atrial arrhythmia ... (B) #WAP #MAR ... multifocal #rhythm #cardiology ... #diagnosis #ekg ... #ecg #electrocardiogram
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")
on EKG • Inferior ... leads: Sawtooth waves ... with positive "p waves ... #aflutter #ecg ... #ekg #electrocardiogram
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
on EKG • Inferior ... leads: "Positive" waves ... & negative "P waves ... #aflutter #ecg ... #ekg #electrocardiogram
Atrial Flutter on EKG • Regularly-occurring atrial activity • ≥ 240 atrial depolarizations (i.e. flutter waves)
EKG • Regularly-occurring ... waves) / min ... #aflutter #ecg ... #ekg #electrocardiogram ... #diagnosis
Cannon A Waves • Caused by atrial contracting against a closed tricuspid valve • Atrioventricular dissociation
Cannon A Waves ... • The cannon a wave ... activation from SVT (e.g ... 2LmUODZ #Cannon #AWaves ... #diagnosis #cardiology
Multifocal Atrial Arrhythmias on ECG Multifocal atrial rhythm & Multifocal atrial tachycardia ECG Recognition: • Variable P wave
on ECG Multifocal ... atrial tachycardia ECG ... in contrast to WAP ... #diagnosis #ekg ... #electrocardiogram
Electrocardiographic Features of Digoxin Toxicity • Virtually any arrhythmia is possible. None specific for digoxin toxicity
Virtually any arrhythmia ... inverted/Biphasic T waves ... digitalis #Toxicity #Electrocardiogram ... #ekg #ecg #toxicology ... #cardiology #diagnosis
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
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