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differential electrocardiogram clinical management aflutter classification endocarditis typical acidosis anesthesia anesthesiology bradyarrhythmia cardiac causes cheatsheet checklist clockwise comparison counterclockwise echocardiogram
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Counterclockwise) and Reverse ... Flutter on EKG ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
Counterclockwise and (Left) vs Clockwise (Right) Flutter Typical atrial flutter is counterclockwise in direction and originates from
Typical atrial ... the circuit can reverse ... appearance on ECG ... #Diagnosis #ECG ... #EKG #Cardiology
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Flutter on EKG ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
60 (1) Sinus bradycardia ... #Tachycardia #Bradycardia ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
EKG Interpretation ... junction origin (e.g ... (e.g. ectopic atrial ... @AmyChung #EKG ... Interpretation #ECG
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
85% of predicted value ... Contraindications: - Bradycardia ... Avoid in pts with severe ... : EKG ($), ECHO ... Stress #Testing #cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... flutter, or atrial ... fibrillation/flutter ... Valvular disease (e.g ... #Palpitations #Cardiology
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
OR severe hypotension ... system including valves ... known drug causes (eg ... Intraoperative #Checklist #Diagnosis ... Management #Workup #Cardiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... ↑ ESR, CRP • EKG ... Persistent bacteremia/fevers ... #management #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... CARP, DECREASE V trials ... stratification #diagnosis
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