ECG 1 Flashcards

RBBB

RBBB

Anterolateral STEMI

RBBB

Anterolateral STEMI

Lateral STEMI

Pericarditis

Myocardial Ischemia

Inferior STEMI
Hyperkaelemia
Peaked T waves (usually the earliest sign of hyperkalaemia) P wave widens and flattens PR segment lengthens P waves eventually disappear Prolonged QRS interval with bizarre QRS morphology High-grade AV block with slow junctional and ventricular escape rhythms Any kind of conduction block (bundle branch blocks, fascicular blocks) Sinus bradycardia or slow AF Development of a sine wave appearance (a pre-terminal rhythm)
Pericarditis
Widespread concave ST elevation and PR depression throughout most of the limb leads Reciprocal ST depression and PR elevation in lead aVR (± V1). Sinus tachycardia is also common in acute pericarditis due to pain and/or pericardial effusion.
Pericarditis
Widespread concave ST elevation PR depression throughout most of the limb leads (I, II, III, aVL, aVF) and precordial leads (V2-6). Reciprocal ST depression and PR elevation in lead aVR (± V1). Sinus tachycardia is also common in acute pericarditis due to pain and/or pericardial effusion.

Right Bundle Branch Block
Broad QRS > 120 ms RSR’ pattern in V1-3 (‘M-shaped’ QRS complex) Wide, slurred S wave in the lateral leads (I, aVL, V5-6)

LBBB

RBBB

RBBB

LBBB

RBBB

RBBB

Posterior MI

LBBB
LBBB criteria
QRS duration of > 120 ms Dominant S wave in V1 Broad monophasic R wave in lateral leads (I, aVL, V5-V6) Absence of Q waves in lateral leads (I, V5-V6; small Q waves are still allowed in aVL) Prolonged R wave peak time > 60ms in left precordial leads (V5-6)

Hypokalemia

RBBB

Lateral STEMI

LBBB

Pericarditis

LBBB

LBBB

LBBB

RBBB