36-70 Flashcards

1
Q

what is R progression?

A

increase of the R wave beginning at V1 to V5

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2
Q

T wave is usually positive in leads with tall __ waves

A

R

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3
Q

Hypertrophy refers to an increase in ___ mass. e.g. in __ and __.

A

muscle
hypertension
aortic stenosis

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4
Q

Cardiac enlargement refers to __ of a particular chamber, most often seen in __ disease.

A

dilation

valvular

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5
Q

aortic insufficiency may cause left ___ enlargement

A

ventricular

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6
Q

Mitral insufficiency may result in left ___ enlargement

A

atrial

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7
Q

Which wave should you look at in order to assess atrial enlargement?

A

P wave

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8
Q

Which complex in the ECG represent ventricular enlargement?

A

QRS complex

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9
Q

In a normal axis, leads ___ and ___ should be positive

A

I, aVF

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10
Q

nNrmal axis lies between __ and __

A

0-90

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11
Q

right axis is between __ and __

A

90, 180

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12
Q

In an ECG with right axis, lead ___ should be positive, while lead __ negative

A

aVF, I

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13
Q

left axis is between __ and __

A

0, -90

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14
Q

In an ECG with a left axis lead ___ should be positive, while lead __ is negative

A

I, aVF

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15
Q

extreme right axis deviation is between __ and __

A

.-90, 180

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16
Q

In an ECG with extreme right axis deviation, leads ___ and ___ should be negative

A

I, aVF

17
Q

normal P wave is less than __ second in duration, and less than __ mm in deflection

A
  1. 12 (3 small cubes)

2. 5

18
Q

leads __ and __ are useful to asses the P wave

A

II and V1

19
Q

what do you call right atrial enlargement?

A

P pulmonale

20
Q

right atrial hypertension can be seen when the P wave > ___ mm, in the ___ leads

A

2.5 mm

interior leads

21
Q

What do you call left atrial enlargement?

A

P mitrale

22
Q

In an ECG with a left atrial hypertension V1 should increase in duration by at least __ mm

A

1

23
Q

In an ECG with a left atrial hypertension, lead II terminal P wave should descend by __ mm

A

1

24
Q

__ axis deviation is associated with right ventricular ___

A

right axis

ventricular hypertrophy

25
Q

In right ventricular hypertrophy, the R wave is larger than the S wave in lead V__

A

1

26
Q

In right ventricular hypertrophy, lead V__ has a larger S wave than the R wave

A

6

27
Q

what are the most common causes for right ventricular hypertrophy?

A

pulmonary disease, congenital heart disease

28
Q

In left ventricular hypertrophy there should be an increased __ wave in the leads overlying the __ ventricle

A

R, left

29
Q

In left ventricular hypertrophy __ wave should increase in leads overlying the right ventricle

A

S

30
Q

In left ventricular hypertrophy, the R wave of V5 or V6 + S wave of V1 or V2 > ___ mm

A

35

31
Q

What are the leading causes for left ventricular hypertrophy?

A

systemic hypertension and valvular disease

32
Q

Secondary repolarization abnormalities include: downsloping ___ segment depression and T wave ___

A

ST

inversion

33
Q

a common sign of possible arrhythmia is ___- the awareness of one’s own heartbeat

A

palpitation

34
Q

__ and __are two symptoms that may suggest decreased cardiac output caused by arrhythmias which compromis the cardiac function

A

light-headiness, syncope

35
Q

Arrhythmias may lead to ___ and precipitate ___ heart failure

A

angina

congestive