11 results
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
Cannon A Waves in ... AVNRT on Neck Physical ... EMdoc14 #CannonA #AWaves ... #AVNRT #Neck #PhysicalExam ... #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 ... #Neck #Frog #Sign
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
on EKG Typical ... leads: Sawtooth waves ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis #comparison
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 ... #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
leads: Sawtooth waves ... with positive "p waves ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Atrial Flutter on Neck Examination

If you can dx this rhythm, you are born before 1960. 
Early
Neck Examination ... waves at double ... AVNRT would show ... #Neck #PhysicalExam ... #JVP #Clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
leads: "Positive" waves ... & negative "P waves ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Supraventricular Tachycardia EKG

Here’s a great ECG case of a 50-year-old lady who presented with palpitations

Her heart
great ECG case of ... a 50-year-old lady ... distinguishing QRS from T wave ... @EM_RESUS #AVRT ... #Clinical
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
Approach to ECGs ... SVT - Wide Tachycardias ... - Absence of typical ... nadir of the S-wave ... nadir of the S-wave
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... in the chest or neck ... exam • 12-lead ECG ... Valvular disease (e.g ... consciousness • Near-syncope