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Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Flutter on EKG ... ) Atrial Flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... #diagnosis #comparison
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
) Atrial Flutter ... leads: Sawtooth waves ... #Atrial #Flutter ... #aflutter #ecg ... #ekg #electrocardiogram
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
flutter is counterclockwise ... appearance on ECG ... waves. ... #Diagnosis #ECG ... #EKG #Cardiology
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
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 ... Hussainch #Cannon #Awaves ... #PhysicalExam #JVP ... #Cardiology #Neck
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... (e.g. ectopic atrial ... @AmyChung #EKG ... Interpretation #ECG ... #cardiology #diagnosis
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... 3 different P waves ... bradyarrhythmia #ECG ... #EKG #diagnosis ... #electrocardiogram
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
non-conducted P wave ... Brady Management ... Non-conducted P waves ... #EKG #electrocardiogram ... #ecg #cardiology
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