ECG Flashcards
What is the classical appearance of RBBB on ECG?
‘M’ in lead V1 ‘W’ in lead V6
In which ECG leads is it normal to have inverted T waves?
V1, III and aVR
Which leads represent the right coronary artery on ECG?
II, III, aVF

Atrial flutter
how can you tell there is LVH on ECG?
- sum of S waves in V1/V2 and R in V5 or V6 > 35mm
- R in aVL >11mm

Ventricular ectopic
(wide complex QRS)

ventricular fibrillation
How does atrial flutter appear on ECG?
Saw tooth p waves

Atrial flutter
How may LVH appear on ECG?
S wave in leads V1 or V2 + R wave in leads V5 or V6 =/> 35mm

Ventricular ectopics
Which are the lateral leads on ECG?
I, aVL, V5 and V6

Complete heart block = 3rd degree heart block
(if your Ps and Qs don’t agree, you’ve got 3rd degree)

First degree heart block
(PR interval more than 200 msecs)

Sinus tachycardia
How does atrial fibrillation appear on ECG?
Irregularly, irregular rhythm plus absence of p waves

Atrial fibrillation

Mobitz type 2
(Some P waves don’t get through)

Wenckebach
(progressive lengthening of PR interval culminating in a dropped QRS)
How much time is represented by one large square on an ECG?
200 msec = 0.2 sec
What is a normal QRS complex duration?
3 small squares
Which are the inferior leads on ECG?
II, III and aVF
What is the ECG effect of hypokalaemia?
Flattening of T waves, with U waves
How are atrial ectopics seen on ECG?
Early, narrow complex QRS followed by a compensatory pause
How much time is represented by one small square on an ECG?
40 msec =0.04 secs
Which leads represent the circumflex artery on ECG?
I, aVL, V5 and V6

Complete heart block = 3rd degree heart block
(if your Ps and Qs don’t agree, you’ve got 3rd degree)

Wenckebach
(progressive lengthening of PR interval)

Early diabetic retinopathy with microhaemorrhages

Complete heart block
(Ps and Qs don’t agree = 3rd degree)

First degree heart block
(PR interval more than 200 msecs)
Which leads represent the LAD artery on ECG?
V3, V4
How is first degree heart block defined on ECG?
PR interval >200msec

ventricular tachycardia

Atrial fibrillation

Ventricular ectopics

Atrial flutter

Premature atrial ectopics
(narrow complex QRS with compensatory pause)
How can you calculate HR from an ECG?
300/(number of big squares between every R wave)
ECG findings for VT
Wide complex QRS with tachycardia

Mobitz type 2
(Some P waves don’t get through)

ventricular fibrillation

Premature atrial ectopics
in which leads are inverted t waves normal?
avR
V1
III
(sometimes V-2)
Which are the septal leads on ECG?
V1 and V2

Wenckebach
(progressive lengthening of PR interval culminating in a dropped QRS)
What is the ECG effect of hyperkalaemia?
Tall, peaked T waves with widening of QRS
What is the most specific finding on ECG to suggest LVH?
R wave is greater than 11 mm in lead aVL
Which are the anterior leads on ECG?
V3 and V4

ventricular tachycardia
What is the classical appearance of LBBB on ECG?
‘W’ in lead V1 ‘M’ in lead V6
How are ventricular ectopics seen on ECG?
Early, broad complex QRS
What is a normal PR interval?
3-5 small squares =

ventricular fibrillation
What is the definition of sinus rhythm on ECG?
P wave before every QRS