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cardiology ecg differential clinical management atrial flutter treatment typical algorithm cardiomyopathy counterclockwise criticalcare embolism peripartum radiology radiologyassistant reverse tachycardia abscess
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
on EKG Typical ... • Inferior leads ... #aflutter #ecg ... #ekg #electrocardiogram ... cardiology #clinical #diagnosis
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Independent Atrial Flutter ... without typical inferior ... #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 ... #aflutter #ecg ... #ekg #electrocardiogram ... cardiology #clinical #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Clockwise) Atrial Flutter ... on EKG • Inferior ... #aflutter #ecg ... #ekg #electrocardiogram ... cardiology #clinical #diagnosis
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... evaluating for other causes ... #EKG #Pulmonary ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... with caution in pulmonary ... Treat underlying cause ... with caution in pulmonary ... Treat underlying cause
Diastolic Function Grading - Schematic diastolic filling patterns I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
LV compliance), ECG ... : electrocardiogram ... atrium, PASP: pulmonary ... #Diagnosis #Cardiology ... Grades #Criteria #Table
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
(2) Atrial flutter ... 200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis ... #electrocardiogram
Pulmonary Embolism on ECG Mid 30's female with chest pain/dyspnea. Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... inversions V1-V4 plus inferior ... seen in 34% of cases ... #EKG #Electrocardiogram
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
- Differential Diagnosis ... hemorrhage) - Pulmonary ... pathology (e.g. ... #Differential #Diagnosis ... #Table #Causes
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