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cardiology ekg diagnosis ecg clinical differential aflutter atrial stemi dewinter typical counterclockwise em equivalents interpretation reverse acutepe avr benign btwi
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Clockwise) Atrial Flutter ... Counterclockwise) Atrial Flutter ... • Inferior leads ... • Inferior leads ... #ekg #electrocardiogram
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Independent Atrial Flutter ... without typical inferior ... suggests CTI-independent ... flutter • Negative ... #ekg #electrocardiogram
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
Equivalent - Left anterior ... 1) Upsloping ST ... (>= 1 mm) 2) ST ... #DeWinter #TWaves ... #ECG #EKG #Electrocardiogram
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
on EKG - Anterior ... - 2% of left anterior ... STEMI - look for ST ... - Upsloping ST ... #EKG #ECG #Electrocardiogram
De Winter's T-waves in precordial leads and ST elevation in inferior leads. There are already
elevation in inferior ... supplying the inferior ... addition to the anterior ... #Clinical #EM #Cardiology ... EKG #DeWinter #TWaves
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial Flutter ... on EKG • Inferior ... leads: Sawtooth waves ... Counterclockwise #Atrial #Flutter ... #ekg #electrocardiogram
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Clockwise) Atrial Flutter ... on EKG • Inferior ... & negative "P waves ... Clockwise #Atrial #Flutter ... #ekg #electrocardiogram
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
(in inferior leads ... Saw-Tooth = Atrial Flutter ... Septal (V1-2) • Anterior ... aVL, V5-6) • Inferior ... Interpretation #ECG #Electrocardiogram
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
sign A - Biphasic anterior ... Deeply inverted anterior ... asymmetrical, broad-based anterior ... inversions in the anterior ... differential #cardiology #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 ... in avL - early inferior ... EKG #diagnosis #electrocardiogram
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