Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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cardiology ecg aflutter atrial causes criticalcare typical checklist classification counterclockwise embolism myocarditis overview pulmonary reverse shock sign treatment a4c anesthesia
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
on EKG Typical ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Independent Atrial Flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
on EKG • Inferior ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Atrial Flutter on EKG • Regularly-occurring atrial activity • ≥ 240 atrial depolarizations (i.e. flutter waves)
EKG • Regularly-occurring ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
on EKG • Inferior ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Wellens' Sign: LAD-T Wave Inversion Life threatening T wave inversions in precordial leads. Often V2-V3 Specific
Specific for critical ... anterior wall MI ... Serial EKGS in pts ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Pericarditis on EKG Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... seen in acute MI ... #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
DANGER (4) Vfib/flutter ... (2) Atrial flutter ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
and Causes • Clinical ... Paraclinical assessment: EKG ... pericarditis • Rule out differential ... #Myocarditis #differential ... #cardiology #MRI
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... Cardiovascular MRI ... Clinical • ... gallop • Abnormal ECG ... #Management #Cardiology
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