What does a "sawtooth" appearance in an EKG typically indicate?

A "sawtooth" appearance on an EKG typically indicates atrial flutter. This distinct pattern is characterized by recurring, regular, and sharp "F-waves," resembling the teeth of a saw. These "F-waves" result from the rapid reentrant atrial activity, often occurring at a rate of about 240 to 340 beats per minute. The appearance is most commonly observed in the inferior leads (II, III, and aVF), where the waveform can be seen as distinct peaks and troughs, contributing to the characteristic sawtooth pattern.

Recognizing this pattern is crucial in diagnosing atrial flutter, as it helps differentiate it from other arrhythmias that may present with various irregular waveform characteristics. In clinical practice, the identification of the sawtooth pattern aids in determining the appropriate management and treatment strategies for patients experiencing this arrhythmia. Understanding the significance of the sawtooth pattern is key for effective interpretation of EKGs in various clinical scenarios.