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:
Typical (Clockwise) Atrial ... Flutter on EKG ... Counterclockwise) Atrial ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Atrial Flutter on EKG
 β€’ Regularly-occurring atrial activity
 β€’ β‰₯ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... EKG β€’ Regularly-occurring ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Isthmus Independent Atrial Flutter
 β€’ Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Isthmus Independent Atrial ... atrial activity ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Typical (Counterclockwise) Atrial Flutter on EKG
 β€’ Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial ... Flutter on EKG ... Counterclockwise #Atrial ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG
 β€’ Inferior leads: "Positive" waves often notched (usually not
Typical (Clockwise) Atrial ... Flutter on EKG ... Typical #Clockwise #Atrial ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Digoxin effect on Electrocardiogram (EKG)
Digoxin is a cardiac glycoside from the foxglove leaf
Mechanism
 - Inhibits Na-K
(EKG) Digoxin ... flutter (rate control ... Digoxin effect on ECG ... #EKG #Cardiology ... #Digitalis #ECG
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
period without chest ... Serial EKGS in pts ... 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
Supraventricular tachycardia (SVT) is an abnormally fast heart rhythm arising from improper electrical activity in upper
four main types: atrial ... flutter, and Wolff-Parkinson-White ... of breath, or chest ... Clinical #MedStudent #Cardiology ... #EKG #SVT #SupraVentricularTachycardia
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI on EKG ... Ectopic atrial rhythm ... Wraparound #LAD #STEMI #EKG ... #electrocardiogram ... #ecg