All things ECG Reading Flashcards

1
Q

What is happening during the P wave?

A

Contraction of the atria

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2
Q

What is happening during the QRS wave?

A

Ventricular depolarisation

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3
Q

What does the PR interval tell us?

A

The time taken for conduction through the AV node to the purkinje fibres.
Its the time between the onset of atrial depolarisation to onset of ventricular depolarisation

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4
Q

Whats the “normal” time for a PR interval to be?

A

0.12-0.20 seconds

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5
Q

What is represented by the ST segment?

A

End of ventricular depolarisation to the start of repolarisation

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6
Q

What does the T wave represent?

A

Ventricular repolarisation

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7
Q

Why do you have a dip in the Q wave before the QRS wave?

A

This is because the right atrium will receive the electrical impulse first and its depolarisation is moving away from the electrode, hence the downwards line. This is followed by the depolarisation of the left ventricle which is moving towards the electrode and so you have the upwards line.

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8
Q

What does the QT time interval tell us?

A

Total time for depolarisation and repolarisation of the ventricles to occur.

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9
Q

If you have a prolonged PR interval what does this indicate?

A

There’s a problem with the AV node

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10
Q

What is the normal range of the QRS complex?

A

<0.08-0.12 seconds

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11
Q

If you have a widened QRS complex what can this mean?

A

There’s a problem with the electrical activity in the ventricles of the heart

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12
Q

What is the normal range of the QT interval for males?

A

0.36-0.45 seconds

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13
Q

What is the normal range of the QT interval for females?

A

0.36-0.47 seconds

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14
Q

If a patient is tachycardic, what will this do to their QRS complex?

A

It will shorten their QRS complex

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15
Q

How do you calculate the cQT?

A

cQT= QT / (RR)^squareroot

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16
Q

What does one small square on the ECG paper represent?

A

0.04 seconds

17
Q

What does one big square on the ECG paper represent?

A

0.2 seconds

18
Q

What do the V1 to V2 leads look at?

A

Septum

19
Q

What do the V3 and V4 leads look at?

A

Anterior part of the heart

20
Q

What do the V5 and V6 leads look at?

A

Lateral part of the heart

21
Q

In what leads should you see Q waves?

A

V4-V6

22
Q

What’s the normal axis for an ECG?

A

-30 to 90