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 ... ) Atrial Flutter ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
Isthmus Independent Atrial Flutter
 β€’ Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
activity without typical ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Multifocal Atrial Tachycardia (MAT) on EKG
 β€’ Heart rate > 100 bpm (usually 100-150 bpm)
 β€’
Multifocal Atrial ... #Tachycardia #diagnosis ... #cardiology #EKG ... #ECG #Electrocardiogram ... #labeled #clinical
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Specific for critical ... maker' lesion Typically ... Serial EKGS in pts ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Typical (Counterclockwise) Atrial Flutter on EKG
 β€’ Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Typical (Counterclockwise ... ) Atrial Flutter ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG
 β€’ Inferior leads: "Positive" waves often notched (usually not
Reverse Typical ... (Clockwise) Atrial ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
other causes of cardio-pulmonary ... common finding) β€’ Atrial ... also a result of atrial ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
Mitral Stenosis and Left Atrial Thrombus on Echocardiogram (a4c)

Mitral stenosis is a risk factor for LA
Stenosis and Left Atrial ... Echocardiogram (a4c ... of underlying cardiac ... Echocardiogram #clinical ... #cardiology #pocus
β–Ί
Acute Coronary Syndrome - Diagnostic Likelihood Ratios for Symptoms and Physical Examination. Source: Fanaroff AC, Rymer
Source: Fanaroff AC ... : The Rational Clinical ... #Cardiology #ACS ... LikelihoodRatios #LR #Typical ... #Cardiac
Atrial Flutter on EKG
 β€’ Regularly-occurring atrial activity
 β€’ β‰₯ 240 atrial depolarizations (i.e. flutter waves)
EKG β€’ Regularly-occurring ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis