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 ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
Isthmus Independent Atrial Flutter
 β€’ Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Flutter β€’ Rapid ... without typical ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG
 β€’ Inferior leads: Sawtooth waves (fast up, slow down; "negative")
) Atrial Flutter ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG
 β€’ Inferior leads: "Positive" waves often notched (usually not
Flutter on EKG ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
Typical atrial ... Atypical atrial ... appearance on ECG ... #Diagnosis #ECG ... #EKG #Cardiology
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
Huge right atrial myxoma on POCUS Echocardiogram

Notice the typical attachment to the inter-atrial septum (fossa ovalis)
myxoma on POCUS ... Notice the typical ... #myxoma #POCUS ... Echocardiogram #clinical #cardiology ... #s4c #ultrasound
β–Ί
Left Atrial Myxoma on POCUS Echocardiogram - A4C view
Adult female having fatigue/DOE. Attributes to deconditioning. Starts
Left Atrial Myxoma ... Final diagnosis-left ... atrial myxoma. ... #Myxoma #POCUS ... #A4C
β–Ί
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
maker' lesion Typically ... Serial EKGS in pts ... Wellens #Sign #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
flutter (3) ... (3) Multifocal atrial ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential