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cardiology diagnosis ekg atrial clinical differential counterclockwise reverse bradyarrhythmia bradycardia clockwise comparison digitalis digoxin effect elevation independent isthmus palpitations segment
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 ... activity without typical ... CTI-independent 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
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
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
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... elevation in V1 and V2 typically ... bundle-branch block; and sinus ... voltage Other Causes ... #ecg #ekg #electrocardiogram
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