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:
Clockwise) Atrial Flutter ... on EKG Typical ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Wolff-Parkinson-White (WPW)
- Orthodromic AVRT: Narrow complex, most common 
- Antidromic AVRT: wide complex because goes through
Wolff-Parkinson-White (WPW ... WolffParkinsonWhite #WPW ... #Cardiology #ECG ... #EKG #Electrocardiogram ... #Clinical #Diagnosis
WPW EKG after cardioversion of SVT

Here is the post-conversion ECG

The patient is now in Sinus Rhythm,
WPW EKG after cardioversion ... This is WPW! ... @EM_RESUS #WPW ... #EKG #ECG #Electrocardiogram ... #Clinical #Cardiology
Isthmus Independent Atrial Flutter
 β€’ Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Independent Atrial Flutter ... CTI-independent 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
Fibrillation and WPW ... at bedside β€’ Cardiology ... PreExcitation #clinical ... #ecg #ekg #electrocardiogram ... #cardiology
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 ... #ekg #electrocardiogram ... #cardiology #clinical
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
Wolff-Parkinson-White Syndrome WPW ... WolffParkinsonWhite #WPW ... #Cardiology #ECG ... #EKG #Electrocardiogram ... #Clinical #Diagnosis
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 ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
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 ... #ekg #electrocardiogram ... #cardiology #clinical