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 ... #Table #AFib #AFlutter ... #MAT #WAP #WPW ... #SVT #ECGEducator
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 β€’ Inferior leads:
Typical (Clockwise) Atrial ... Flutter on EKG ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
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 ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Isthmus Independent Atrial Flutter
 β€’ Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
atrial activity ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG
 β€’ Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial ... Flutter on EKG ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG
 β€’ Inferior leads: "Positive" waves often notched (usually not
Typical (Clockwise) Atrial ... Flutter on EKG ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Atrial Fibrillation and WPW - Pre-Excitation AFib
In pre-excitation + a-fib with RVR:
 β€’ All AV nodal
Atrial Fibrillation ... and WPW - Pre-Excitation ... Fibrillation #AFib #WPW ... PreExcitation #clinical ... #ecg #ekg #electrocardiogram
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
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
Wolff-Parkinson-White Syndrome WPW ... pathway between the atria ... #Cardiology #ECG ... #EKG #Electrocardiogram ... #Clinical #Diagnosis
A Lewis Lead (also called the S5 lead) is a modified ECG lead used to detect
used to detect atrial ... atrial flutter ... is suspected clinically ... #Cardiology #EKG ... #ECGEducator