33 results
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
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
Cannon A Waves in ... s the clinical sign ... regular cannon a waves ... EMdoc14 #CannonA #AWaves ... #JVP #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 ... rapid cannon a waves ... Hussainch #Cannon #Awaves ... #Cardiology #Neck
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
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... following the wave ... that the giant A waves ... causing the A waves ... amzn.to/2LmUODZ #AWaves
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
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 ... #CVP
Lancisi's Sign on Neck Examination in Severe Tricuspid Regurgitation

Semiology of severe tricuspid insufficiency : venous pulse
with “giant v” waves ... Note the giant cv wave ... with the giant v wave ... #JVP #Clinical ... #PhysicalExam #Cardiology
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