Abnormals

Question 0

P wave longer than >0.10

Answer 0

LAE

P-mitrale

Question 1

P wave taller >2.5

Answer 1

RAE

P-pulmonale

Question 2

LVH

Answer 2

S wave v1v2. >35
R wave v5v6 . >35
R wave in AVL >11

Question 3

Right axis deviation >+90

Answer 3

RVH

Question 4

R > S in v1

>7 mm

Answer 4

RVH

Question 5

Invented P wave

Answer 5

A/w AV junction dysrhythmia

Question 6

Normal rate that suddenly accelerates to rapid, irregular rhythm

Answer 6

Paroxysmal tachycardia

Question 7

Patterned irregularity, irregularity that repeats a pattern

Answer 7

Sinus dysrhythmia

2nd degree AV block type 1

Question 8

Tall, rounded or peaked P waves w/ increased right atrial pressure and RAE

Answer 8

P pulmonale

Question 9

Notched, wide or biphasic P waves seen w/ increased left atrial pressure and LAE

Answer 9

P mitrale

Question 10

Not all atrial impulses reach ventricle thru AV node
Sawtooth
Rate = 250-300

Answer 10

Atrial flutter

See flutter waves

Question 11

Irregularly irregular waves, no pattern

Rate = >350 bpm

Answer 11

Atrial fibrillation

Question 12

Enlarged QRS complexes

Answer 12

Right or left ventricular enlargement

Right has tall R waves, RAD
Left has LAD