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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ECG Basics - Atrial Rhythms #Cardiology #MedStudent #EKG #Atrial #SVT #Comparison #Table #AFib #AFlutter #MAT #WAP
ECG Basics - Atrial ... Rhythms #Cardiology ... #MedStudent #EKG ... #Table #AFib #AFlutter ... #MAT #WAP #WPW
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 β€’ Inferior leads:
Flutter on EKG ... Flutter β€’ Inferior ... #Flutter #aflutter ... #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
Flutter β€’ Rapid ... CTI-independent flutter ... #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 ... #Flutter #aflutter ... #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 ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Atrial Fibrillation and WPW - Pre-Excitation AFib
In pre-excitation + a-fib with RVR:
 β€’ All AV nodal
Atrial Fibrillation ... and WPW - Pre-Excitation ... PreExcitation #clinical ... #ecg #ekg #electrocardiogram ... #cardiology
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
pathway between the atria ... QRS interval on EKG ... #Cardiology #ECG ... #EKG #Electrocardiogram ... #Clinical #Diagnosis
A Lewis Lead (also called the S5 lead) is a modified ECG lead used to detect
is a modified ECG ... atrial flutter ... standard 12 lead ECG ... Lead I on the ECG ... #Cardiology #EKG
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