sawtooth flutter algorithm em ecg - GrepMed

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Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
• Inferior leads:

Clockwise) Atrial Flutter ... on EKG Typical ... Inferior leads: Sawtooth ... notched (usually not sawtooth ... #aflutter #ecg

Isthmus Independent Atrial Flutter
• Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter

Independent Atrial Flutter ... typical inferior sawtooth ... CTI-independent 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 ... leads: Sawtooth ... Counterclockwise #Atrial #Flutter ... #aflutter #ecg

Reverse Typical (Clockwise) Atrial Flutter on EKG
• Inferior leads: "Positive" waves often notched (usually not

Clockwise) Atrial Flutter ... on EKG • Inferior ... notched (usually not sawtooth ... Clockwise #Atrial #Flutter ... #aflutter #ecg

1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust

cue to look for flutter ... #Clinical #EM #Cardiology ... #ECG #Atrial #Flutter

Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
• Attempt vagal maneuvers
• Give adenosine 6 milligrams IV

Possible atrial flutter ... Control rate (e.g ... possible atrial flutter ... Control rate (e.g ... management #cardiology #algorithm

Differential Diagnosis of Hypoglycemia
Evaluation of Hypoglycemia
Patients with known diabetes who are not systemically ill and can

blood cultures - ECG ... antibodies #Diagnosis #EM ... #Differential #Algorithm

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