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clinical ecg aflutter flutter pulmonary typical comparison counterclockwise echocardiogram embolism fast fastexam reverse rhythm s4c ultrasound a4 acutepe apical apicalfourchamber
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Flutter on EKG ... Flutter • Inferior ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
Positive FAST in the RUQ view demonstrating echogenic clot in Morison’s pouch with adjacent anechoic free
(*) #Clinical #Diagnosis ... #EM #Trauma #Radiology ... #POCUS #FAST #FASTExam ... HepatorenalRecess #Positive #ALiEM
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
ventricle (RV), right atrium ... (LV) and left atrium ... septum #Clinical #EM ... #Cardiology #POCUS ... #FourChamber #ALiEM
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
without typical inferior ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
common finding) • Atrial ... also a result of atrial ... Leads (VI-V3) +/- Inferior ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Flutter on EKG ... • Inferior leads ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Flutter on EKG ... • Inferior leads ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
(e.g. ectopic atrial ... • Saw-Tooth = Atrial ... Septal (V1-2) • Anterior ... #Electrocardiogram ... #cardiology #diagnosis
Ectopic atrial rhythm • The atrial rate is less than 100 bpm. • PR interval within
• The atrial ... Inverted P waves in inferior ... #rhythm #cardiology ... #diagnosis #ekg ... #ecg #electrocardiogram
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