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ecg electrocardiogram aflutter clinical management typical anesthesia cardiac checklist counterclockwise differential intraoperative reverse workup acutepe anatomy arrest arteries bradyarrhythmia bradycardia
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Flutter on EKG ... Flutter • Inferior ... Flutter • Inferior ... #cardiology #clinical ... #diagnosis #comparison
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
without typical inferior ... CTI-independent flutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Counterclockwise and (Left) vs Clockwise (Right) Flutter Typical atrial flutter is counterclockwise in direction and originates from
waves in the inferior ... waves in the inferior ... appearance on ECG ... #Diagnosis #ECG ... #EKG #Cardiology
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Flutter on EKG ... • Inferior leads ... #Flutter #aflutter ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Flutter on EKG ... • Inferior leads ... #Flutter #aflutter ... #cardiology #clinical ... #diagnosis
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
evaluating for other causes ... also a result of atrial ... Leads (VI-V3) +/- Inferior ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
flutter (3) ... (3) Multifocal atrial ... 200ms from longer pause ... #EKG #diagnosis ... electrocardiogram #cardiology
d-Transposition of the Great Arteries • Anatomy • Epidemiology • Associated Lesions • Pathophysiology/Presentation • Classic
Chest Xray – “Egg ... switch • Arterial ... Great #Arteries #peds ... #pediatrics #cardiology ... #diagnosis #management
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
(e.g. ectopic atrial ... Flutter PR Interval ... Septal (V1-2) • Anterior ... Electrocardiogram #cardiology ... #diagnosis #system
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Guidelines for Crises ... Consider invasive arterial ... consultation with cardiology ... Ischemia #Ischaemia #Anesthesiology ... Intraoperative #Checklist #Diagnosis
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