CV - introduction to the 12-lead interpretation Flashcards
what are the “inferior” leads?
II
III
aVF
what are the “lateral” leads?
I
aVL
what are the right chest leads?
V1
V2
what are the left chest leads?
V5
V6
what do the right chest leads monitor?
right ventricle
what do the left chest leads monitor?
left ventricle
the normal QRS axis is defined as ranging from __________ to __________ degrees.
-30
+90
-30 to -90 degrees is referred to as a __________.
left axis deviation (LAD)
+90 to +180 degrees is referred to as a __________.
right axis deviation (RAD)
normal axis is positive in both leads __________ and __________.
I
II
left axis is positive in lead __________ and negative in lead __________.
I
II
right axis is negative in lead __________ and positive in lead __________.
I
II
indeterminate axis is negative in both leads __________ and __________.
I
II
__________ axis is positive in lead I and negative in lead II
left
__________ axis is negative in lead I and positive in lead II.
right
in a right bundle branch block, there is a __________ QRS, a __________ deflection in right-sided leads and a __________ deflection in left-sided leads on ECG.
widened
positive
negative
in a right bundle branch block, there is a widened __________, a positive terminal QRS deflection in __________-sided leads and a negative terminal QRS deflection in __________-sided leads on ECG.
QRS
right
left
the V6 lead is a __________-sided lead, and records a __________ QRS with a __________ terminal QRS deflection on ECG of a right bundle branch block.
left
widened
negative
the V1 lead is a __________-sided lead, and records a __________ QRS with a __________ terminal QRS deflection on ECG of a right bundle branch block.
right
widened
positive
in a left bundle branch block you have a __________ QRS with conduction __________ V1 and __________ V6.
widened
away from
towards
the V6 lead is a __________-sided lead, and records a __________ QRS with a __________ terminal QRS deflection which is described as __________, on ECG of a left bundle branch block.
left
widened
positive
“rabbit-eared”
the V1 lead is a __________-sided lead, and records a __________ QRS with a __________ terminal QRS deflection which is described with a __________, on ECG of a left bundle branch block.
right
widened
negative
diminished Q deflection
a left anterior hemiblock causes __________ deviation on ECG with a __________ lead I and __________ lead II.
left axis
positive
negative
left posterior hemiblock causes __________ deviation on ECG with a __________ lead I and __________ lead II.
right axis
negative
positive
right atrial hypertrophy results in an __________ in the initial voltage of the P wave, and a __________ appearance of the P wave.
increase
peaked
right atrial hypertrophy results in an increase in the initial voltage of the __________.
P wave
left atrial hypertrophy results in a __________ or __________ appearance of the P wave.
widened
notched
left atrial hypertrophy results in a widened or notched appearance of the __________.
P wave
left ventricular hypertrophy presents on ECG with a normal __________ duration with extremely high voltage (positive deflection) in leads __________ and __________ (__________-sided leads).
QRS
V5
V6
left
right ventricular hypertrophy presents on ECG with an __________ wave that exceeds the __________ wave.
R
S
__________ and __________ leads monitor the anteroseptal wall of the heart.
V1
V2
__________ and __________ leads monitor the anterior wall of the heart.
V3
V4
__________ and __________ leads monitor the anterolateral wall of the heart.
V5
V6
__________, __________ and __________ leads monitor the inferior wall of the heart.
II
III
aVF
an acute inferior myocardial infarct presents with ECG recordings of __________ and __________ in the inferior leads (__________, __________ and __________).
ST elevations abnormal Q waves II III aVF
an acture anteroseptal myocardial infarction presents with ECG recordings of __________ and __________ in the anteroseptal and anterior wall leads (__________, __________, __________).
ST elevations abnormal Q waves V1 V2 V3
acute pericarditis presents with __________ in __________ leads.
diffuse ST elevation
multiple (no localization)
the most efficient way to estimate axis is to look at leads __________ (__________ ) and __________ (__________).
I (lateral)
aVF (inferior)