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atrial aflutter diagnosis ekg typical counterclockwise jvp nejm physicalexam reverse antecubital arm cardio clockwise comparison cvp doppler echo echocardiography estimate
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Clockwise) Atrial Flutter ... on EKG Typical ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Independent Atrial Flutter ... CTI-independent flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial Flutter ... Counterclockwise #Atrial #Flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Atrial Flutter on EKG • Regularly-occurring atrial activity • ≥ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... depolarizations (i.e. flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Clockwise) Atrial Flutter ... Clockwise #Atrial #Flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Atrial Flutter on Neck Examination If you can dx this rhythm, you are born before 1960. Early
Atrial Flutter on ... Neck Examination ... #Neck #PhysicalExam ... #JVP #Clinical ... #Video #Cardiology
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 Antecubital Vein examination to estimate JVP/CVP In this video, the antecubital veins move between Below [RA +
CVP In this video ... E.g. in a cold room ... in rare cases (neck ... JVP #estimation #Clinical ... #Cardiology #VenousPressure
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 Severe Mitral Stenosis- The physical examination revealed a right parasternal heave, a loud S1, a midpeaking
An electrocardiogram ... showed atrial flutter ... 0.5 cm2) (see video ... ) #clinical #doppler ... #radiology #NEJM
Tuberculous Pericarditis- On examination, the patient’s neck veins were distended, and heart sounds were muffled. An
the patient’s neck ... An electrocardiogram ... A [arrow] and Video ... #NEJM #clinical ... #radiology #tuberculous
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