Dr. Gerald Diaz @GeraldMD
23.7M 13.8K 7.3K
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
without typical inferior ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
LAD STEMI on with Anterior Hypokinesis POCUS Echocardiogram

What's the diagnosis?? 63 year old with BP of
Anterior Hypokinesis ... POCUS Echocardiogram ... What's the diagnosis ... #Anterior #Hypokinesis ... #clinical #cardiology
β–Ί
Typical (Counterclockwise) Atrial Flutter on EKG
 β€’ Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial Flutter ... on EKG β€’ Inferior ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG
 β€’ Inferior leads: "Positive" waves often notched (usually not
Clockwise) Atrial Flutter ... on EKG β€’ Inferior ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Acute Anterior MI with AV Dissociation #Clinical #Cardiology #EKG #Anterior #STEMI #AVDissociation #Dissociation #ECGEducator
Acute Anterior MI ... Dissociation #Clinical ... #Cardiology #EKG ... #Anterior #STEMI
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Specific for critical ... becoming acute anterior ... wall MI β€” 'widow ... Serial EKGS in pts ... #Diagnosis #Cardiology
Inferior MI with Right Ventricular (RV) Wall Involvement #Clinical #Cardiology #EKG #Inferior #RV #RightVentricular #STEMI #ECGEducator
Inferior MI with ... Wall Involvement #Clinical ... #Cardiology #EKG ... #Inferior #RV # ... RightVentricular #STEMI
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
ECGs - Ischemia MI ... in avL - early inferior ... MI - R/S >1 or ... #EKG #diagnosis ... electrocardiogram #cardiology
STEMI Equivalents on ECG
 β€’ Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... STEMI - Elevation ... segment at (or 40-60 ms ... #EKG #diagnosis ... #differential #cardiology