12 Lead EKG Flashcards

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0
Q

What polarity is the right arm for leads?

A

Always negative

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1
Q

Who invented the Electrocardiogram?

A

Einthoven

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2
Q

What polarity is the left leg for limb leads?

A

Always Positive

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3
Q

Which limb lead can be either positive or negative polarity?

A

Left arm

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4
Q

What are he three different types of ECG leads?

A

Bipolar, unipolar, precordial

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5
Q

Which limb leads are bipolar?

A

I, II, and III

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6
Q

What is the normal polarity of cardiac cells?

A

Polarized

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7
Q

What occurs when cardiac cell depolarization occurs?

A

Sodium enters into the cell and Potassium exits from the cell

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8
Q

What pathways connect the SA node to the AV node?

A

Internodal pathways

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9
Q

In a 12 lead how should a QRS complex appear on aVR?

A

Negative

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10
Q

What are the first four things you look at for a 12 lead?

A

First impression

Rate

Rhythm

Axis

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11
Q

What are things to consider with wide QRS?

A

Ventricular Focus

Paced Rhythm

Right or left block

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12
Q

How do you determine right or left branch blocks?

A

Wide

negative deflection (Left branch)

positive deflection (Right branch)

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13
Q

How to determine axis in 12 lead?

A

Look at lead 1 and aVF and determine whether most of the rhythm occurs above or below the isoelectric line

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14
Q

How should ST segments appear?

A

at the isoelectric line

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15
Q

When does ST segment elevation occur

A

When there is transmural myocardial injury

16
Q

ST segment depression indicates what?

A

Ischemia

17
Q

What is Transmural MI

A

Full covering block

18
Q

Define STEMI

A

1 mm ST segment elevation in 2 or more contiguous leads

19
Q

Which leads are for interior MI

A

II, III, aVF

20
Q

Which leads are for Septal MI

A

V1, V2

21
Q

Which leads are for anterior MI

A

V3, V4

22
Q

Which leads are for Lateral MI

A

I, aVL, V5, V6