Clinical Cases- ECG focus Flashcards

1
Q

What do Premature atrial contractions look like on ECGs?

A

Premature P wave followed by a QRS and then an extended gap until the next heart beat

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2
Q

What do Premature ventricular contractions look like on ECGs?

A

Absent P wave with one wide QRS complex

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3
Q

What does Atrial fibrillation look like on an ECG?

A

Non-flat baseline, no p wave, irregular RR interval

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4
Q

What does Atrial flutter look like on ECG?

A

Saw tooth

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5
Q

What does Premature Junctional complex look like on ECG?

A

QRS with no P wave and can be inverted

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6
Q

What does Supraventricular tachycardia look like on ECG?

A

Fast, regular rhythm with no P waves and tight QRS

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7
Q

What does idioventricular rhythm look like on ECG?

A

Wide QRS with no P waves

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8
Q

What does VTach look like on ECG?

A

Fast, wide, loopy, regular QRS with no P waves

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9
Q

What does VFib look like on ECG?

A

Looks like VTach but smaller amplitude

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10
Q

What do primary AV blocks look like on ECGs?

A

Prolonged PR interval

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11
Q

What does secondary AV block type I (Wenckebach) look like?

A

PR interval progressively gets longer until there is a P wave but no QRS (dropped beat)

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12
Q

What do secondary AV block type II (Mobitz) look like?

A

Constant PR more P waves than QRS complex

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13
Q

What do Type 3 AV blocks look like?

A

Wide and loopy QRS with multiple P waves that are sporadically spaced throughout rhythm

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14
Q

What does Wandering Atrial Pacemaker look like on ECG?

A

P waves that almost all look different from each other

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15
Q

What does a junctional rhythm look like on ECG?

A

Looks normal except without a P wave or inverted P Wave, also around 40-60 bpm

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16
Q

What does Torsades de Pointes look like on ECG?

A

Fast rhythm with wide QRS and no discernible P waves

17
Q

What does ventricular bigeminy look like on ECG?

A

PVCs exactly every other beat

18
Q

What does ventricular trigeminy look like on ECG?

A

PVCs exactly every third beat

19
Q

What does run of VTach look like on ECG?

A

Three or more PVCs together

20
Q

What does a left bundle branch block look like on ECG?

A

Downward deflected wide QRS in V1

21
Q

What does a right bundle branch block look like on ECG?

A

Upward defected bunny ear QRS in V1

22
Q

What does hyperkalemia look like on ECG?

A

Peaked T waves

23
Q

What does Hypokalemia look like on ECG?

A

U wave after the T wave

24
Q

What does left ventricular hypertrophy look like on ECG?

A

Tall QRS, ST depression, and some QRS waves in V2 and V3 are almost physically touching