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cardiology diagnosis ekg atrial differential typical counterclockwise reverse bradyarrhythmia bradycardia clockwise comparison digitalis digoxin echocardiogram effect em emergency independent isthmus
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Counterclockwise) Atrial Flutter ... Clockwise) Atrial Flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Independent Atrial Flutter ... CTI-independent flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Atrial Flutter on EKG • Regularly-occurring atrial activity • ≥ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... depolarizations (i.e. flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial Flutter ... Counterclockwise #Atrial #Flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Clockwise) Atrial Flutter ... Clockwise #Atrial #Flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves 2. Don't trust
"Sinus Tach" at ... cue to look for flutter ... #Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... DANGER (4) Vfib/flutter ... (2) Atrial flutter ... absent P (2) A flutter ... #electrocardiogram
Digoxin effect on Electrocardiogram (EKG) Digoxin is a cardiac glycoside from the foxglove leaf Mechanism - Inhibits Na-K
Digoxin effect on Electrocardiogram ... nodal conduction Uses ... fibrillation and atrial flutter ... #EKG #Cardiology ... #Digitalis #ECG
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Paroxysmal AF, atrial flutter ... Atrial fibrillation/flutter ... Valvular disease (e.g ... #Palpitations #Cardiology
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
(electrocardiogram ... evaluate potential causes ... WOBBLER: Each letter ... segment • Epsilon #clinical ... #cardiology #differential
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