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cardiology management anesthesia anesthesiology ecg electrocardiogram intraoperative workup differential aflutter clinical signs symptoms treatment typical cardiac counterclockwise endocrinology reverse syndrome
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 #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
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
without typical inferior ... CTI-independent flutter ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... cardiology #clinical #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial ... Flutter on EKG ... • Inferior leads ... Counterclockwise #Atrial ... cardiology #clinical #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Typical (Clockwise) Atrial ... Flutter on EKG ... • Inferior leads ... Typical #Clockwise #Atrial ... cardiology #clinical #diagnosis
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... flutter, ectopic ... Treat underlying cause ... flutter or MAT ... Treat underlying cause
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
evaluating for other causes ... common finding) • Atrial ... also a result of atrial ... Leads (VI-V3) +/- Inferior ... Embolism #AcutePE #diagnosis
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
DANGER (4) Vfib/flutter ... flutter (3) ... (3) Multifocal atrial ... 200ms from longer pause ... #EKG #diagnosis
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
EKG Interpretation ... (e.g. ectopic atrial ... Flutter PR Interval ... @AmyChung #EKG ... Electrocardiogram #cardiology #diagnosis
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI 1 STABLE ANGINA - Angina
thrombus formation causes ... partial occlusion ... is reflected by ECG ... #Diagnosis #Cardiology ... Text: The Only EKG
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