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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Atrial Flutter - Summary Sheet

 β€’ Electrophysiology - Typical and Atypical Flutter
 β€’ Treatment
Atrial Flutter - ... Summary Sheet ... AtrialFlutter #AFlutter ... #Summary #diagnosis ... #management #cardiology
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
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
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
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
Digoxin effect on Electrocardiogram (EKG)
Digoxin is a cardiac glycoside from the foxglove leaf
Mechanism
 - Inhibits Na-K
Digoxin effect on Electrocardiogram ... fibrillation and atrial flutter ... Digoxin #effect #Electrocardiogram ... #EKG #Cardiology ... #Digitalis #ECG
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... bradyarrhythmia #ECG ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential
Summary of Heart Blocks
1st Degree Heart Block:
 β€’ Prolonged PR >200ms (5 small squares).
 β€’ Narrow
Summary of Heart ... Brady Management ... Classification #degrees #summary ... #electrocardiogram ... #ecg #cardiology
Navigating a Rapid Response Team (RRT)

Assert Leadership:
 β€’ Stand at foot of bed
 β€’ Introduce yourself
Ask for brief summary ... EKG. ... RRT: β€’ Final summary ... Response #Team #RRT #Management ... #treatment #criticalcare