Radiofrequency ablation of counterclockwise perimitral atrial flutter with an isthmus approach in the anterolateral wall in severe atrial disease | Roberto Zinicola
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Atrial Flutter EKG: Typical vs. Reverse Typical Typical (Counterclockwise) Flutter 🔄 90% cases Inferior leads: Sawtooth, negative waves ⬇️ V1: Isoelectric, positive P waves Reverse Typical (Clockwise) Flutter 🔁 10% cases Inferior leads: Positive, notched waves ⬆️ V1: Broad, negative P waves #AtrialFlutter #EKG #Cardiology #ECG #Arrhythmia #MedicalEducation | Abdallah Othman
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Abdallah Othman on Instagram: "Atrial Flutter 🔁 Pathogenesis: A macro-re-entrant tachycardia, most commonly due to a counterclockwise re-entry circuit around the tricuspid annulus in the right atrium. The atrium depolarizes at ~300 bpm (range 180-350). Key Clinical Findings: Ventricular rate is determined by AV nodal conduction (e.g., 2:1 block → ~150 bpm). Symptoms (palpitations, dyspnea, fatigue, presyncope) stem from reduced cardiac output at high rates. Diagnostic ECG Hallmark: Sawtooth flu
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