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Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Flutter on EKG ... Flutter • Inferior ... leads: Sawtooth waves ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
waves in the inferior ... waves in the inferior ... appearance on ECG ... waves. ... #Diagnosis #ECG
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
inferior sawtooth waves ... CTI-independent flutter ... • Negative F waves ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram
Comparison of Multifocal Atrial Tachycardia, Atrial Fibrillation and Atrial Flutter
Multifocal Atrial Tachycardia - Atrial Rate >
Flutter Multifocal ... 100 1. >3 p wave ... Flutter - Atrial ... "Saw tooth" flutter ... waves 2.
Atrial Flutter on EKG
 • Regularly-occurring atrial activity
 • ≥ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... depolarizations (i.e. flutter ... waves) / min ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram
A Lewis Lead (also called the S5 lead) is a modified ECG lead used to detect
used to detect atrial ... flutter waves when ... atrial flutter ... depolarization, atrial ... flutter waves may
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial ... Flutter on EKG ... leads: Sawtooth waves ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Typical (Clockwise) Atrial ... Flutter on EKG ... leads: "Positive" waves ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
cue to look for flutter ... waves 2. ... EM #Cardiology #ECG ... #Atrial #Flutter
Inverted P Waves:
(A) Ectopic atrial rhythm
(B) Junctional rhythm 

#Inverted #PWaves #cardiology #diagnosis #ekg #ecg #electrocardiogram #differential
Inverted P Waves ... : (A) Ectopic atrial ... #Inverted #PWaves ... cardiology #diagnosis #ekg ... #ecg #electrocardiogram