Cardiology Flashcards
shockable rhythms
Vfib and pulseless Vtach
Atrial flutter & Atrial fibrillation
beta blocker or CCB 1st line
WPW
procainamide
Sinus rhythm
upright in I, II and avF and neg in avR, each P wave followed by QRS
left atrial enlargement
m-shaped P wave in Lead II
Biphasic P in V1
right atrial enlargement
tall P wave in lead II >3mm
Biphasic P in V1 with larger initial component
Left BBB
wide QRS
borad, slurred R in V5,6
Deep S in V1
ST elevations V1-V3
Right BBB
wide QRS
RsR’ in V1,2
WIde S in V6
anterior wall
V1=V4
anterior wall artery
LAD
anterior-septal wall
V1&V2
anterior-septal artery
proximal LAD
lateral wall
V5, V6, I and AVL
lateral wall artery
circumflex
anterolateral wall
I, AVL, V4, V5, V6
anterolateral artery
Mid LAD or CFX
Inferior
II, III, aVF
inferior artery
right coronary artery
posterior wall
ST depressions V1-V2
posterior wall artery
RCA, CFX
WPW
AVRT, accessory pathway pre-excites the ventricles
Delta wave, wide QRS, short PR interval
procainamide
avoid AV nodal blockers - adenosine, BB, CCB, digoxin
Burgada Sydrome
MC asian males, genetic disorder, ventriuclar arrhythmias and sudden cardiac death
EKG - RBBB, ST elevation V1-V3, T wave inversions V1&V2
AICD management