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cardiology workup anesthesia anesthesiology intraoperative electrocardiogram treatment flutter criticalcare cardiac differential syndrome neurology signs symptoms typical algorithm causes counterclockwise crisis
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Flutter on EKG ... Flutter • Inferior ... Flutter • Inferior ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
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
Atrial Flutter on EKG • Regularly-occurring atrial activity • ≥ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... EKG • Regularly-occurring ... #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 ... #ecg #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 ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
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
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... flutter, ectopic ... Control rate (e.g ... Control rate (e.g ... Tachycardia #Treatment #management
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
EKG Interpretation ... junction origin (e.g ... (e.g. ectopic atrial ... @AmyChung #EKG ... Interpretation #ECG
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #diagnosis
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