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cardiology ekg electrocardiogram differential atrial management treatment typical causes counterclockwise echocardiogram reverse syncope tachycardia aecopd arrhythmias artery bradyarrhythmia bradycardia calculations
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Clockwise) Atrial Flutter ... Counterclockwise) Atrial Flutter ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis #comparison
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
CTI-independent flutter ... Independent #Atrial #Flutter ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial Flutter ... on EKG • Inferior ... Counterclockwise #Atrial #Flutter ... #aflutter #ecg ... #cardiology #clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Clockwise) Atrial Flutter ... on EKG • Inferior ... Clockwise #Atrial #Flutter ... #aflutter #ecg ... #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 ... #cardiology #clinical ... #diagnosis
Counterclockwise and (Left) vs Clockwise (Right) Flutter Typical atrial flutter is counterclockwise in direction and originates from
Clockwise (Right) Flutter ... Typical atrial flutter ... appearance on ECG ... #Diagnosis #ECG ... #EKG #Cardiology
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
- Differential Diagnosis ... Algorithm Bradyarrhythmia ... Tachycardia • Aflutter ... • AFib • AFIutter ... in a setting of long
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
DANGER (4) Vfib/flutter ... (2) Atrial flutter ... absent P (2) A flutter ... AV block 1º - long ... #EKG #diagnosis
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Possible atrial flutter ... with caution in pulmonary ... possible atrial flutter ... with caution in pulmonary ... #algorithm
Syncope - Differential Diagnosis Algorithm Neurocardiogenic: • Vasovagal • Orthostatic Hypotension • Autonomic Neuropathy • Situational (micturition,
- Differential Diagnosis ... Algorithm Neurocardiogenic ... Respiratory: • Pulmonary ... VFib • AFib/AFlutter ... #Algorithm #causes
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