ECG Flashcards

1
Q

Where is V1 lead placed?

A

fourth intercostal space, to the right of sternum.

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2
Q

Where is V2 lead placed?

A

fourth intercostal space, to the left of sternum.

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3
Q

Where is V3 lead placed?

A

placed diagonally between V2 and V4.

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4
Q

Where is V4 lead placed?

A

between rib 5 and 6 in the midclavicular line.

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5
Q

Where is V5 lead placed?

A

placed on the same level as V4, but in the anterior maxillary line.

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6
Q

Where is V6 lead placed?

A

placed on the same level as V4 and V5, but in the midaxillary line.

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7
Q

On the cardiac axis what is normal?

A

-30 to 90 degrees

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8
Q

If cardiac axis is lower than -30 what is this called

A

Left axis deviation

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9
Q

If cardiac is higher than +90 what is this called

A

Right axis deviation

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10
Q

What are reasons for cardiac deviation?

A
Hypertrophy 
Cardiomegaly
Coronory artery disease
Tumor 
Pregnancy
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11
Q

If you are tall what heart deviation would you have?

A

Right heart deviation

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12
Q

If you are short what heart deviation would you have?

A

Left heart deviation

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13
Q

Causes of left heart deviation

A

Short/ Obese
Inferior MI
Left bundle branch block

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14
Q

Causes of right heart deviation

A

Tall
PE
Right bundle branch block

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15
Q

If there is a positive deflection of Lead 1 and positive deflection of aVF what cardiac axis is this?

A

Normal

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16
Q

If there is a negative deflection of Lead 1 and positive deflection of aVF what cardiac axis is this?

A

Right axis deviation

17
Q

If there is a positive deflection of Lead 1 and negative deflection of aVF what cardiac axis is this?

A

Most likely left axis deviation

18
Q

If there is a positive deflection of Lead 1 and negative deflection of aVF and negative deflection of Lead 2 what cardiac axis is this?

A

Left axis deviation

19
Q

Draw the cardiac axis diagram

A

https://litfl.com/wp-content/uploads/2018/08/Haxaxial-ECG-AXIS-Reference-2021.png

20
Q

What does the P wave represent?

A

Atrial depolarisation

21
Q

What does the QRS complex represent?

A

Ventricular depolarisation

22
Q

What does the T wave represent?

A

Ventricular repolarisation

23
Q

What does PR interval mean?

A

Time it takes for electric signal to travel from your atria to ventricles

24
Q

What does QRS interval mean?

A

Time it takes for Ventricular depolarisation

25
Q

What does QT interval mean?

A

Time it takes for Ventricular depolarisation and Ventricular repolarisation

26
Q

What is QTc

A

Correct QT interval

27
Q

How is QTc calculated?

A

QT/ square root of R-R interval

28
Q

What are the normal values for PR interval

A

120-200 ms

29
Q

What are the normal values for QRS interval

A

80-120ms

30
Q

What are the normal values for QT interval

A

360-440ms

31
Q

What is the equation for heart rate from an ECG

A

300/ Number of large squares between R-R

32
Q

What is sinus arythmia

A

Normal irregular rhythm of the heart

33
Q

What happens to ECG during inspiration

A

R-R interval shortens

34
Q

What happens to ECG during expiration

A

R-R interval lengthens

35
Q

What is the mechanism for the change in ECG during inspiration

A

Inspire = vagal tone decreases
Vagal tone keeps your heart rate at a low rate
heart rate increases when you breathe in

36
Q

What is normal in an ECG for athletes?

A

LVH- left ventricular hypertrophy
Sinus bradycardia
1st heart degree block
Sometimes ST elevation

37
Q

What is normal in Caribbean and African populations ECG

A

Inverted T wave in V3
ST elevation
LVH

38
Q

What is a sign of ventricular hypertrophy

A

Big QRS complex