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cardiology ekg clinical counterclockwise differential bradyarrhythmia bradycardia cheatsheet classification clockwise comparison independent interpretation isthmus palpitations system tachyarrhythmia tachycardia types
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Flutter on EKG ... ) Atrial Flutter ... ) Atrial Flutter ... #Atrial #Flutter ... #aflutter #ecg
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Reverse Typical ... Flutter on EKG ... #Atrial #Flutter ... #aflutter #ecg ... #ekg #electrocardiogram
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Flutter • Rapid ... without typical ... CTI-independent flutter ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
) Atrial Flutter ... Counterclockwise #Atrial ... #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 ... atrial activity ... depolarizations (i.e. flutter ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram
Counterclockwise and (Left) vs Clockwise (Right) Flutter Typical atrial flutter is counterclockwise in direction and originates from
Typical atrial ... the circuit can reverse ... causing clockwise atrial ... Atypical atrial ... #Diagnosis #ECG
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
DANGER (4) Vfib/flutter ... flutter (3) ... SVTs - atrial/junctional ... (3) Multifocal atrial ... #EKG #diagnosis
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
(e.g. ectopic atrial ... Morphology = multifocal atrial ... • Saw-Tooth = Atrial ... Flutter PR Interval ... #Electrocardiogram
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Paroxysmal AF, atrial ... flutter, or atrial ... Arrhythmias: • Atrial ... fibrillation/flutter ... • Multifocal atrial
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