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 clinical aflutter pericardial echocardiogram electrical typical counterclockwise malignant reverse bradyarrhythmia bradycardia cheatsheet clockwise comparison differential independent interpretation isthmus s4c
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Typical (Clockwise) Atrial ... Flutter on EKG ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
Pericardial Effusion on EKG • Electrical alternans • Low voltage • Sinus tachycardia (suggests possibility of
Pericardial Effusion ... on EKG • Electrical ... alternans • Low ... #EKG #ECG #electrocardiogram ... #cardiology #diagnosis
Atrial Flutter on EKG • Regularly-occurring atrial activity • ≥ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... EKG • Regularly-occurring ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Flutter • Rapid ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG • 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 • Inferior leads: "Positive" waves often notched (usually not
Typical (Clockwise) Atrial ... Flutter on EKG ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion Massive pericardial effusion, female metastatic breast cancer
Echocardiogram (A4C ... demonstrating ECG ... alternans motion ... #pocus #a4c #electrical ... #alternans
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 Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion Massive pericardial effusion, female metastatic breast cancer
demonstrating ECG ... alternans motion ... malignant #clinical #cardiology ... #pocus #S4C #electrical ... #alternans
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 Large Pericardial Effusion on POCUS Good example of swinging heart in pre tamponade. Reason for electrical
on POCUS Good ... for electrical alternans ... EKG from same patient ... #A4C #Clinical ... #Cardiology #Swinging
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 Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... bradyarrhythmia #ECG ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential
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