ECG Flashcards

1
Q

What does the p wave correspond to in regards to electrical conductance

A

Sino atrial node conducting current down atria and internodal tracts (atrial systole)

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2
Q

What does the qrs complex correspond to in regards to electrical conductance

A

Conduction through left and right bundles to purkinje fibres causing ventricular contraction

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3
Q

What does the t wave correspond to in regards to electrical conductance

A

Repolarisation of ventricles

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4
Q

Where are limb leads placed

A

Both hands and legs (feet)

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5
Q

What are limb leads labelled as

A

AVR (RA), AVL (LA), AVF (LL), N (RL)

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6
Q

Which 3 limb leads are used in measurement

A

AVR, AVL and AVF from ra, la and ll forming a triangle

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7
Q

Lead 2 direction and deviation

A

Axis deviation - change in heart position and electrical conduction position

Shows right and left axis deviation

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8
Q

What position is lead 2 placed

A

45 degree down to the right

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9
Q

What does lead 2 measure

A

P wave as it passes through san and avn

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10
Q

Loss of p wave

A

Atrial fibrillation (lead 2)

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11
Q

Saw tooth pattern

A

Atrial flutter (lead 2)

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12
Q

Delay in conduction of pr interval (long)

A

1st degree heart block (lead2)

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13
Q

Intermittent cinduction of pr interval

A

2nd degree heart block

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14
Q

Interpreting ecg

A

Rate rhythm and axis

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15
Q

Rate calculation

A

300 / large squares

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16
Q

Rhythm calculation

A

Pr interval - 5 x small squares

Qrs duration - 2.5 x small squares

Look at st segment

17
Q

Axis

A

Use limb leads

18
Q

What do limb lewds measure

A

Angle

19
Q

Lead 2 angle

A

60 degree

20
Q

Lead 1 angle

A

0 degree ->

21
Q

Lead 3 angle

A

120 Down and right

22
Q

AVL angle

A

-30 degrees up and right

23
Q

AVF angle

A

90 straight down

24
Q

AVR angle

A

Up and right