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diagnosis cardiology ecg clinical aflutter atrial stemi counterclockwise equivalents interpretation reverse airway anatomy avnrt awaves bradyarrhythmia bradycardia cannon causes clockwise
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
on EKG Typical ... leads: Sawtooth waves ... #aflutter #ecg ... #ekg #electrocardiogram ... 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 ... #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
Reverse Typical ... leads: "Positive" waves ... & negative "P waves ... #aflutter #ecg ... #ekg #electrocardiogram
Deep T Wave Inversions - Differential Normal variants A. Juvenile T wave pattern
Deep T Wave Inversions ... - Differential ... Juvenile T wave ... Secondary T wave ... #EKG #Electrocardiogram
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
(4) Vfib/flutter ... 3 different P waves ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential
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 ... JVP #Cardiology #Neck
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 STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... symmetrical T-waves ... • Hyperacute T wave ... #differential # ... cardiology #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... elevation in V1 and V2 typically ... Segment #Elevation #differential ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
- hyperacute T waves ... - deWinter T waves ... stenosis - U wave ... #electrocardiogram ... Interpretation #differential
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