38 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... • Oxygen • Treatment ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Flutter on EKG ... Flutter • Inferior ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
becoming acute anterior ... Serial EKGS in pts ... Wellens #Sign #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Isthmus Independent Atrial ... without typical inferior ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
#Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
pathway between the atria ... QRS interval on EKG ... The definitive treatment ... #ECG #EKG #Electrocardiogram ... #Clinical #Diagnosis
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
with probable inferior ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Flutter on EKG ... • Inferior leads ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Flutter on EKG ... • Inferior leads ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Control rate (e.g ... #Tachycardia #Treatment ... #management #cardiology