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 flutter aflutter neck sign typical counterclockwise reverse afib avnrt cannon cannona cheatsheet clockwise comparison embolism fibrillation frog giant
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Typical (Clockwise) Atrial ... Flutter on EKG ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
Cannon A Waves on Neck Examination Cannon a waves! Notice that it occurs randomly, not predictably w/
for DDI and an atrial ... VivekKulkarniMD #CannonA #AWaves ... #Neck #PhysicalExam ... #JVP #Clinical ... #Video #Cardiology
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 Multifocal Atrial Tachycardia (MAT) on EKG • Heart rate > 100 bpm (usually 100-150 bpm) •
At-least 3 distinct P-wave ... #Tachycardia #diagnosis ... #cardiology #EKG ... #ECG #Electrocardiogram ... #labeled #clinical
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
• Negative F waves ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
origin within the atria ... (e.g. ectopic atrial ... • Saw-Tooth = Atrial ... #Electrocardiogram ... #cardiology #diagnosis
Cannon A waves during AVNRT on Physical Exam In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... EKG of the same ... are enough to diagnose ... #AVNRT #PhysicalExam ... #JVP #Cardiology
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 Atrial Flutter on EKG • Regularly-occurring atrial activity • ≥ 240 atrial depolarizations (i.e. flutter waves)
EKG • Regularly-occurring ... (i.e. flutter waves ... #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 ... Serial EKGS in pts ... Wellens #Sign #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
have elevated JVP ... the underlying diagnosis ... #Neck #PhysicalExam ... #Clinical #Video ... #Cardiology
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 Wolff-Parkinson-White Syndrome WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
pathway between the atria ... out for a delta wave ... WolffParkinsonWhite #WPW #Cardiology ... #ECG #EKG #Electrocardiogram ... #Clinical #Diagnosis
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