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cardiology clinical diagnosis jvp physicalexam sign video atrial lancisis tricuspid flutter avblock jugular typical cannon counterclockwise differential interpretation paroxysmal reverse
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
leads: Sawtooth waves ... with positive "p waves ... & negative "P waves ... #aflutter #ecg ... #ekg #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
Lancisi's Sign on Neck Examination in Severe Tricuspid Regurgitation Semiology of severe tricuspid insufficiency : venous pulse
Lancisi's Sign on Neck ... with “giant v” waves ... Note the giant cv wave ... with the giant v wave ... #Neck #JVP #Clinical
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 Cannon A Waves of Complete Heart Block on Physical Exam A patient presented to clinic with lightheadedness
Cannon A Waves of ... The a wave is the ... results in “cannon a waves ... have cannon a waves ... UCSFIMChiefs #CannonA #AWaves
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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 ... rapid cannon a waves ... Hussainch #Cannon #Awaves ... #Cardiology #Neck
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 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 #CVP
Atrial Flutter on Neck Examination If you can dx this rhythm, you are born before 1960. Early
being the "c" wave ... waves at double ... constant cannon a wave ... waves on inspiration ... #JVP #Clinical
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 Atrial Flutter on EKG • Regularly-occurring atrial activity • ≥ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... EKG • Regularly-occurring ... waves) / min ... #aflutter #ecg ... #ekg #electrocardiogram
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