Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 β€’ Inferior leads:
on EKG Typical ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
Isthmus Independent Atrial Flutter
 β€’ Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Independent Atrial Flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG
 β€’ Inferior leads: Sawtooth waves (fast up, slow down; "negative")
on EKG β€’ Inferior ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Atrial Flutter on EKG
 β€’ Regularly-occurring atrial activity
 β€’ β‰₯ 240 atrial depolarizations (i.e. flutter waves)
EKG β€’ Regularly-occurring ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG
 β€’ Inferior leads: "Positive" waves often notched (usually not
on EKG β€’ Inferior ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Aortic Stenosis & Bicuspid Aortic Valve (AS)
 β€’ Introduction & Pathophysiology
 β€’ Classifications
 β€’ Epidemiology
 β€’
Valve (AS) β€’ ... manifestations β€’ Radiologic ... /Diagnostic findings ... Pre-operative Management ... #AorticValve #cardiology
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
Typical atrial flutter ... the tricuspid valve ... appearance on ECG ... #Diagnosis #ECG ... #EKG #Cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
period without chest ... Wellens #Sign #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... bradyarrhythmia #ECG ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
presenting with chest ... tissue disorder e.g ... valve disease ... #Dissection #diagnosis ... #management #vascular