ECG Flashcards
Inferior leads
II,III,avF
rIGHT Coronary
Right coronary artery
Lateral leads
I,avL,V5,V6
Left Circumflex
circumflex
Anterior leads
V3,V4
LAD
LAD
Septal leads
V1,V2
LAD
LAD
Posterior leads
Changes in V1-3
Posterior infarction is confirmed by ST elevation and Q waves in posterior leads (V7-9)
Usually left circumflex, also right coronary
causes of j wave
hypercalcemia
hypothermia
intracranial bleed
ECG hyperkalaemia
Peaked or 'tall-tented' T waves (occurs first) Loss of P waves Broad QRS complexes Sinusoidal wave pattern Ventricular fibrillation
ECG hypokalaemia
inverted T waves and U waves
muscle weakness and hypotonia and sometimes can include chest pain and palpitation
ECG hypercalcaemia
shortened QT interval
J ( osborne) waves
Digoxin effects on ECG
Downsloping ST depression T-wave changes (inversion) Biphasic/flattened and shortened QT interval Slight PR interval prolongation Prominent U-waves
ECG pericarditis
PR depression
saddle-shaped ST-segment elevation
causes of prolonged QT include
hypocalcaemia
hypokalaemia
hypomagnesaemia
hypothermia
drugs (e.g. antipsychotics, tricyclic antidepressants, macrolides, antiarrhythmics)