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cardiology clinical atrial typical counterclockwise differential reverse benign bradyarrhythmia bradycardia btwi cheatsheet classification clockwise comparison emergency fibrillation independent interpretation inversion
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Clockwise) Atrial Flutter ... on EKG Typical ... Clockwise) Atrial Flutter ... #aflutter #ecg ... #ekg #electrocardiogram
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Independent Atrial Flutter ... CTI-independent flutter ... Independent #Atrial #Flutter ... #aflutter #ecg ... #ekg #electrocardiogram
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 ... #ekg #electrocardiogram
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 ... #ekg #electrocardiogram
Atrial Flutter on EKG • Regularly-occurring atrial activity • ≥ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... EKG • Regularly-occurring ... depolarizations (i.e. flutter ... #aflutter #ecg ... #ekg #electrocardiogram
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
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 ... bradyarrhythmia #ECG ... #EKG #diagnosis
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
EKG Interpretation ... junction origin (e.g ... Saw-Tooth = Atrial Flutter ... @AmyChung #EKG ... Interpretation #ECG
Benign T-wave Inversion (BTWI) vs. Wellens' • Usually in leads V3-V6 (vs. V2-V4 in Wellens'), but
frequent TWI in inferior ... are generally stable ... Inversion #BTWI #EKG ... #ECG #diagnosis ... #cardiology #electrocardiogram
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber 50's male witnessed arrest. Unknown hx. AED no
Fibrillation on POCUS Echocardiogram ... Diagnosis? ... getting 12 lead ECG ... Note akinesia of anterior ... Fibrillation #VFib #S4C
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