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clinical ecg aflutter echocardiogram flutter differential embolism mcconnells counterclockwise equivalents reverse acutepe clockwise clotintransit comparison constrictive elevation independent interpretation ischemia
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Flutter on EKG ... • Inferior leads ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
Wellens' Sign: LAD-T Wave Inversion Life threatening T wave inversions in precordial leads. Often V2-V3 Specific
becoming acute anterior ... maker' lesion Typically ... Serial EKGS in pts ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Pulmonary Embolism on POCUS Echocardiogram Mid 30's female with chest pain/dyspnea. Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... POCUS (apical window ... Echocardiogram #A4c ... #clinical #cardiology
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 Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
activity without typical ... inferior sawtooth ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
) Atrial Flutter ... on EKG • Inferior ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... also a result of atrial ... #EKG #Pulmonary ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Reverse Typical ... • Inferior leads ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis ... #differential #cardiology ... #electrocardiogram
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... in avL - early inferior ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
McConnell's Sign on POCUS Echocardiogram (A4C) A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
on POCUS Echocardiogram ... hypokinesis with apical ... Diagnosis concerning ... for Pulmonary Embolism ... #ultrasound #cardiology
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