Atrial flutter
Results:
2024 EMS Cases Part II
A 56-year-old woman is being brought in by EMS for palpitations. The following EMS ECG is obtained and transmitted:
Atrial Flutter
Key Points Definition: Atrial flutter is a common type of supraventricular tachycardia caused by a re-entry circuit within the right atrium. Atrial Rate: Typically around ~300 bpm, ranging from 240-360…
Differential Diagnoses: poor R wave progression, prolonged QT intervals, and much more
A 53-year-old woman presents to the emergency department with shortness of breath. The following ECG is obtained:
Bradydysrhythmia: An irregular rhythm with grouped or clumped beats
A 75-year-old woman presents to the emergency department with palpitations and near syncope. She is noted to be bradycardic with an irregular rhythm. The following ECG is obtained on arrival:
Narrow Complex Tachycardia: sinus tachycardia, atrial flutter, or SVT?
A 52-year-old man presents to the emergency department with palpitations and is found to be tachycardic. The following ECG is obtained on arrival:
Differential Diagnoses: AV blocks, tachyarrhythmias, and what you need to look for on the ECG of every patient with syncope
A 36-year-old woman is brought into the emergency department after an episode of syncope. She reports palpitations prior to the episode but is otherwise asymptomatic on arrival. Vital signs are…
Rhythm Interpretation: atrial tachyarrhythmia review part 1/2
A 40-year-old woman is brought into the ED with palpitations and chest discomfort. She is noted to be tachycardic on arrival. Treatment is started with IV fluids for sinus tachycardia….
STAT ECG Diagnoses: ventricular conduction in atrial flutter
A 92-year-old man is brought into the ED with near syncope and lightheadedness. He mentions he has been non-compliant with his medications, but history is otherwise limited. He is found…
Differential Diagnoses: what to consider in patients with regular wide complex tachycardias (RWCT)
A 45-year-old male presents to the ED with palpitations and is found to be markedly tachycardic. The following ECG is obtained:
STAT ECG Diagnoses: intermittent runs of nonsustained ventricular tachycardia vs. aberrant conduction
A 36-year-old male with PMHx of RV failure, pulmonary hypertension, and HFrEF presents to the ED with shortness of breath, palpitations, and cough. The following ECG is obtained:
5 challenging EMS cases to help you test your emergency ECG interpretation skills
A 78-year-old man is brought into the ED by EMS with chest aches, dyspnea, and palpitations. The following prehospital ECG was obtained:
Narrow Complex Tachycardia: the maximum achievable sinus heart rate
A 67-year-old woman is brought to the ED by EMS for palpitations. She is found to have a heart rate ~168. Vital signs are otherwise within normal limits aside from…
Wide Complex Tachycardias: What is the Lewis lead and how you can use modified ECG leads to help make the diagnosis
A 60-year-old male presents to the ED with acute chest pain and lower extremity edema. He is noted to be tachycardic on arrival. The following ECG is obtained:
Bifascicular blocks, BRASH syndrome, and so much more!
This week we will continue discussing 6 more interesting prehospital EMS ECGs. Let’s start with this 78-year-old woman with PMHx of HTN who called an ambulance for generalized weakness associated…
How to distingusish between left anterior vs. posterior fascicular blocks (LAFB vs. LPFB), hyperkalemia emergencies, and much more!
This week we will quickly review 6 interesting prehospital EMS ECGs. Let’s start with this 46-year-old man who called an ambulance for chest pain and was noted to be diaphoretic….
Great EMS cases that highlight hypothermia emergencies, the ECG findings in acute pulmonary embolism, and so much more!
A 39-year-old woman is being taken to the ED by EMS for palpitations and lightheadedness. She is noted to be tachycardic. The following ECG is obtained:
Literature Review: COVID and the Heart
A 45-year-old man with a history of severe cardiomyopathy presents with palpitations. The following ECG is obtained:
Differential Diagnoses: narrow complex regular tachycardias
A 64-year-old man presents with palpitations. The following ECG is obtained:
EMS ECGs: S1Q3T3, is it pathognomonic for acute pulmonary embolism
A 63-year-old woman presents to the emergency department with palpitations. The following ECG was obtained by EMS prior to arrival:
EMS ECGs: accelerated idioventricular rhythm (AIVR) in patients with ACS and other critical cases to help you save lives!
A 69-year-old man is brought in by EMS to the ED with chest pain and shortness of breath. No prehospital treatment was rendered. The following prehospital ECG was obtained:
ECG Tags
- & Myocardial Ischemia
- 11th Annual UMEM ECG Competition
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- 1st degree AV Block
- 1st degree AVB
- 2:1 AV Block
- 2:1 AVB
- 2:1 Conduction
- 2015 ECG Competition
- 2015 ECG Competition Part II
- 2016 ECG Competition
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- 3rd degree AV block
- 5 Step Approach
- 5-FU
- aberrancy
- Aberrant conduction
- Abnormal ECG
- Abnormal P wave Axis DDx
- absent p waves
- Accelerated idioventricular rhythm
- accelerated junctional rhythm
- Acidosis
- ACS
- ACS mimics
- ACS RIsk Factors
- Acute Chest Pain
- Acute Coronary Syndromes (ACS)
- Acute MI
- Acute Pericarditis
- Acute Pericarditis vs. STEMI
- Adenosine
- Adenosine sensitive VT
- Advanced AV block
- Afib
- Afib with WPW
- AIVR
- Altered Mental Status Emergencies
- AMI
- Amiodarone
- Anemia
- Anterior STEMI
- antidromic
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- Aortic Dissection
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- Arrhythmogenic right ventricular cardiomyopathy
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- Atherosclerosis
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- atrial arrhythmias
- Atrial dysrhythmias
- Atrial fibrillation
- Atrial Fibrillation (AFib)
- Atrial Fibrillation with RVR
- Atrial Fibrillation with SVT
- Atrial Fibrillation with WPW
- Atrial flitter
- Atrial flutter
- Atrial Flutter 1:1 Conduction
- atrial flutter mimics
- Atrial Flutter with Variable Conduction
- Atrial parasystole
- Atrial septal defect
- Atrial Septal Defect (ASD) & Crochetage Pattern
- Atrial tachycardia
- Atrifact
- Atrioventricular blocks
- Atrioventricular Blocks (AVB) Summary
- Atrioventricular Nodal Reentry Tachycardia
- Atrioventricular Reciprocating Tachycardia
- AV Block
- AV Blocks
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- AV dissociation without complete heart block
- AVB
- AVB: 1st degree
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- AVD
- aVL
- AVNRT
- aVR
- Axis
- axis basics
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- Basics
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- bidirectional ventricular tachycardia
- bifascicular block
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- bigeminy
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- Blocked PAC’s
- Board review
- bpm
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- bradyarrhythmia
- Bradycardia
- BRASH syndrome
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- Brugada Pattern
- Brugada syndrome
- Buried P Waves
- CAD
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- CCB toxicity
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- Cocaine toxicity
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- coronary angiography
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- ddx
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- de Winter T-waves
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- deWinter
- deWinter T-waves
- Dextrocardia
- differential diagnoses
- differential diagnoses for left axis deviation
- Diffuse ST elevation
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- digoxin
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- Dominant R wave
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- Dysrhythmias
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- Epsilon waves
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- evolution of ecg
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- extreme axis deviation
- Fascicular blocks
- fever
- Flattened T Waves
- Flutter Waves (F waves)
- Fusion Beats
- GERD
- grouped beats
- Guidelines
- Heart block
- heart rate
- heart rate and rhythm basics
- heart rate basics
- heart rhythm
- heart rhythm interpretation
- High grade AV block
- high grade AV blocks
- high lateral STEMI
- high risk pe
- High Voltage
- high-risk pulmonary embolism
- Himalayan T-waves
- history of ecg
- History of presenting illness
- HOCM
- Hypeacute T waves
- Hyperacute T-waves
- Hypercalcemia
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- hyperkalemia mimics
- Hyperkalemic Periodic Paralysis
- Hypermagnesemia
- Hypertrophic Cardiomyopathy
- Hypertrophic obstructive cardiomyopathy
- Hypocalcemia
- Hypokalemia
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- Hypothermia
- Idioventricular rhythms
- Impressive syndrome
- inappropriate sinus tachycardia
- incomplete right bundle branch block
- indeterminate axis
- indeterminate QRS axis
- inferior STEMI
- intermittent
- Intermittent WPW
- intervals
- Intracranial hemorrhage
- Intractable chest pain
- inverted P Waves
- Inverted T Waves
- Inverted U-waves
- IRBBB
- Irregular rhythm
- irregular rhythms
- Ischemia
- Ischemic T-waves
- Isoelectric baseline
- Isoelectric segment
- Isoelectric Segment of the ECG
- Isolated Posterior STEMI
- Isorhythmic AV dissociation
- Isorhythmic AVD
- J point
- J wave
- J-waves
- junctional escape rhythms
- junctional rhythm
- Junctional rhythms
- Junctional Tachycardia
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- killer differentials
- LAD
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- lead misplacement
- lead V1
- left anterior fascicular block
- Left axis deviation
- left axis deviation ddx
- left bundle branch block
- left posterior fascicular block
- Left Ventricular Hypertrophy (LVH)
- Lewis lead
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- life savers
- limb lead misplacement
- Limb lead reversal
- Literature review
- Long QT
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- LVAD
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- Modified Sgarbossa criteria
- Monomorphic Ventricular Tachycardia
- monomorphic VT
- Multifocal atrial tachycardia
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- Myxedema
- Na channel blocker toxicity
- narrow & irregular tachycardia
- narrow & regular tachycardia
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- Narrow Complex Tachycardia
- narrow qrs bradycardia
- Nikelekam T-waves
- No clear P waves DDx
- Non-conducted P wave (P:QRS>1) DDx
- non-conducted PACs
- Non-STE ACS
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- Non-sustained VT
- Nonspecific intraventricular conduction delay
- nonsustained ventricular tachycardia
- Nonsustained VT
- normal
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- Normal ECG
- normal heart rate
- Normal Heart Rate Ranges by Age
- normal lead placement
- normal qrs axis
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- Not normal ecg
- NSVT
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- OMI Pattern: ST Depression V1-V4
- OMI Patterns in Left Bundle Branch Block
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- POTS
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- Prehospital ECG
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- Premature beats
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- premature contractions
- premature junctional complexes
- Prolonged QT
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- proper lead placement
- proportionality
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- Pseudo Wellens
- Pseudo-Wellens waves
- Pseudonormalization of T-waves
- Pulmonary Embolism
- pulmonary hypertension
- PVC
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- PVT
- Q-waves
- QRS
- QRS axis
- qrs axis basics
- QRS Complexes
- QRS fragmentation
- QRS Fragmentation (fQRS)
- QRS morphology
- qrs voltage
- QRS-interval
- QRS-T proportionality
- R wave basics
- R waves
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- R-wave
- R-wave in V1
- R-wave progression
- RAD
- rapid af
- rapid afib
- rapid atrial fibrillation
- rate & rhythm
- RBBB
- Really wide complex tachycardia
- reciprocal changes
- Reflux
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- Regular Rhythm
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- Regularized atrial fibrillation
- repolarization abnormalities
- Rescue PCI
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- Resources & Recommendations
- Respiratory variation
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- Revised Sgarbossa Criteria
- Rhythm
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- right atrial enlargement
- Right axis
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- Right Axis Deviation DDx
- Right bundle branch block
- right heart strain
- Right sided leads
- Right Ventricular (RV) STEMI Criteria
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- sick sinus syndrome
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- Sinus arrest
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- Sloof Lirpa Sign
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- Subtle ST Segment Elevation (STE)
- Supraventricular tachycardia
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- Sustained VT
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- T wave inversion differential
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- T wave morphology
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- Tall R wave in aVR
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- unifascicular
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- Upright T waves in V1
- V1
- v1-v2 placed too high
- V1/V2
- vasospasm
- Ventricular aneurysm
- Ventricular dysrhythmias
- ventricular escape rhythms
- Ventricular fibrillation
- ventricular fibrillation mimics
- Ventricular Flutter
- Ventricular rhythm
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- Ventricular Tachycardia
- Ventricular Tachycardia (VT)
- Ventricular tachycardia mimics
- Ventricular tachycardia vs. SVT with aberrant conduction
- Ventricular Tachycardiak
- VF
- voltage
- VT
- VT mimics
- w Voltage
- waveforms
- waves
- WCT
- Wellens
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- Wellens’ syndrome
- wide complex irregular tachycardia
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- Wide complex tachycardia
- Wide QRS
- wide qrs bradycardia
- Wide QRS interval
- wide vs. narrow QRS
- Wolff Parkinson White
- WPW
- wpw syndrome
- WPW syndrome and Pseudo-MI patterns
- WPW vs STEMI
- WPW with Antidromic SVT
- WPW with atrial fibrillation
- WPW with Orthodromic SVT
- WPW with SVT
- Young patients
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