ECG Flashcards

1
Q

What do the boxes on an ECG represent?

A
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2
Q

What are Limb Leads 1,2,3

A

Bipolar Limb leads
Tell you about the electrical activity in vertical plane of the heart

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3
Q

What are Limb Ledas aVR,aVL,aVF

A

Augmented Unipolar Limb leads
Tell you about the electrical activity in vertical plane of the heart

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4
Q

What are V1-V6 leads?

A

Precordial Chest leads
Tell you about the electrical activity in horizontal plane of the heart

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5
Q

What is the most common ECG Lead used?

A

2

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6
Q

5.Things to consider when interpreting ECG

A
  1. Rate
  2. Rhythym
  3. QRS
  4. Sinus P wave present?
  5. P-R interval
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7
Q

1.How to determine Heart Rate on an ECG

A

Box Method is (300/no.of boxes between the R wave)
R-Waves across 10 secs and x6

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8
Q

2.How to determine heart rhythym

A

You can take a card and mark where the R waves are and move along ECG to determine if regular or irregular

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9
Q

3.QRS: Normal/Wide

A

Greater than 3 small boxes within QRS complex -wide QRS

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10
Q

4.Sinus P wave present?

A
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11
Q
  1. P-R Interval?
A
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12
Q

Differential Charactersitics of Tachycardia

A
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13
Q

Differntial Charcteristics of Bradycardia

A
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14
Q

ST elevation requirements + potential reasons for this

A

1 mm ST segment elevation in any of the leads except V2-V3

2mm in V2-V3

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15
Q

ST Depression requirements + potential reasons for this

A
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16
Q

J wave requirements + potential reason for this

A
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17
Q

T wave inversion requiremnts + potential reason for this

A
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18
Q

Hyperacute T wave requiremnts + potential reason for this

A
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19
Q

Biphasic T wave requirements + potential reason for this

A
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20
Q

Flat T wave requirement + potential reason for this

A
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21
Q

Peaked T wave requirement + potential reason for this

A
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22
Q

Wide QRS complex requirement + potential reason for this

A
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23
Q

Pathological Q wave

A
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24
Q

Low Voltage QRS

A
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25
Q

R wave

A
26
Q

LVH/RVH

A
27
Q

Prolonged QT

A
28
Q

P-wave/PR Interval & Abnormalities

A
29
Q

Cardiac Axis + Abnormalities

A
30
Q

ECG Findings for subendocardial ischaemia

A
31
Q

What is digitalis effect

A

From Taking too much Digoxin
Has a curved ST segment

32
Q

What is an NSTEMI

A

Non-ST elevation myocardial infarction

33
Q

ECG findings for a Transmural Infarction

A

Can also get a pathological Q-wave (>2mm deep + >0.04ms wide)

34
Q

Pathological Q waves and Infarct Locations

A

Septal Wall: V1,V2
Anterior Wall: V3,V4
Anterolateral: V3-V6, I, aVL
Subendocardial - None

aVR is not a reliable lead for diagnosing patological Q wave

35
Q

Other causes of Pathological Q-waves

A

Bundle Branch Block, Wolff-Parkinson-White Syndrome

36
Q

Table to describe subendocardial vs Transmural

A
37
Q

What is considered a patholoigcal sign of ischaemia

A

T wave inversion leads V2-V6

38
Q

____ conduction through the atrioventricular node ensures that ventricles have enough time to fill with blood before contracting.

A

Slow

39
Q

Decreased ventricular filling can result from an

A

increase in conduction velocity at the atrioventricular node.

40
Q

Increases in conduction velocity at the atrioventricular node can lead to

A

decreased stroke volume.

41
Q

The resting membrane potential of cardiac cells is primarily determined by

A

potassium ions.

42
Q

Conduction velocity in the heart is slowest at the

A

AV node

43
Q

Conduction velocity in the heart is fastest at the

A

Purkinje fibers

44
Q

_____ in the ECG corresponds to the atrial depolarization.

A

P wave

45
Q

P wave in the ECG corresponds to the

A

atrial depolarization

46
Q

The PR-interval in the ECG is the

A

time from start of atrial depolarization to start of ventricular depolarization (normally <200 msec).

47
Q

The QRS complex in the ECG corresponds to

A

electrical ventricular depolarization (normally < 120 msec).

48
Q

ECG corresponds to the mechanical contraction of the ventricles

A

QT interval

49
Q

ECG corresponds to ventricular repolarization

A

T wave

50
Q

J point of the ECG corresponds to the

A

junction between the end of QRS-complex and the start of ST-segment.

51
Q

The U wave of the ECG is prominent in

A

hypokalemia and bradycardia.

52
Q

The lateral leads of the electrocardiogram are leads

A

I, aVL, V5, and V6.

53
Q

The inferior leads of the electrocardiogram are leads

A

II, III, and AVF

54
Q

Normally, the R wave is larger than the S wave in

A

lead V4 on electrocardiogram.

55
Q

The QRS transition zone is usually seen in the chest leads

A

V3 and V4.

56
Q

QRS transition zone will shift towards a region of

A

hypertrophy

57
Q

Angina caused by vasospasm, or Prinzmetal’s angina, can cause transient in the absence of an infarction.

A

ST elevation

58
Q

Ventricular aneurysm can cause persistent

A

ST elevation in most of the chest leads on electrocardiogram.

59
Q

_______ causes diffuse ST elevation.

A

Pericarditis

60
Q

Significant Q waves on electrocardiogram indicate

A

necrosis and are diagnostic of infarction.

61
Q

A large R wave in lead V1 or V2 of electrocardiogram should raise suspicion for a

A

posterior infarction

62
Q

ST segment depression in the right chest leads of electrocardiogram should raise suspicion for an

A

acute posterior infarction.