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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Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 β€’ Inferior leads:
Flutter on EKG ... Flutter β€’ Inferior ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Isthmus Independent Atrial Flutter
 β€’ Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Flutter β€’ Rapid ... CTI-independent flutter ... #Flutter #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 ... depolarizations (i.e. flutter ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
cue to look for flutter ... #Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
Typical (Counterclockwise) Atrial Flutter on EKG
 β€’ Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial ... Flutter on EKG ... Counterclockwise #Atrial ... #Flutter #aflutter ... #cardiology #clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG
 β€’ Inferior leads: "Positive" waves often notched (usually not
Typical (Clockwise) Atrial ... Flutter on EKG ... Typical #Clockwise #Atrial ... #Flutter #aflutter ... #cardiology #clinical
A Lewis Lead (also called the S5 lead) is a modified ECG lead used to detect
is a modified ECG ... used to detect atrial ... atrial flutter ... is suspected clinically ... #Cardiology #EKG
Supraventricular tachycardia (SVT) is an abnormally fast heart rhythm arising from improper electrical activity in upper
four main types: atrial ... flutter, and Wolff-Parkinson-White ... of breath, or chest ... #Clinical #MedStudent ... #Cardiology #EKG
Garland Triad on Chest X-Ray in Sarcoidosis 
aka Pawnbroker's Sign - Right paratracheal and bilateral hilar
Garland Triad on ... Chest X-Ray in ... #Chest #XRay #CXR ... Pawnbrokers #Sign #clinical ... #radiology #pulmonary
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
origin within the atria ... (e.g. ectopic atrial ... β€’ Saw-Tooth = Atrial ... Flutter PR Interval ... Electrocardiogram #cardiology