ECG Flashcards

1
Q

A wave of approaching depolarisation approaching an electrode causes

A

an upward going blip

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2
Q

When using standard limb leads, what events are transmitted better, fast or slow?

A

Fast

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3
Q

On an ECG, what causes the P wave?

A

Atrial depolarisation

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4
Q

On an ECG, what causes the QRS complex?

A

Ventricular depolarisation

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5
Q

On an ECG, what causes the T wave?

A

Ventricular repolarisation

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6
Q

The PR interval is mainly due to transmission through what?

A

The atrioventricular node (AV node)

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7
Q

QRS is equal to

A

the time for the whole ventricle to depolarise

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8
Q

The QT interval is

A

the time spent while ventricles are depolarised

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9
Q

Atrial repolarisation coincides with

A

ventricular depolarisation

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10
Q

Do different parts of the ventricle depolarise at the same or different times?

A

Different

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11
Q

The inter ventricular septum depolarises in what direction?

A

From left to right

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12
Q

The bulk of the ventricle depolarises from

A

the endocardial to the epicardial surface

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13
Q

Why is the T wave positive-going?

A

Action potential is longer in endocardial cells than in epicardial cells, so wave of repolarisation runs in opposite direction to wave of depolarisation

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14
Q

What would happen if the heart developed hypertrophy on the left or atrophy on the right?

A

Axis deviation

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15
Q

What extra information do the precordial leads give you?

A

Information on the same events but in the transverse plane

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16
Q

Limb leads look at the spread of depolarisation and repolarisation from how many angles, in what plane?

A

6 angles in the frontal plane

17
Q

A heart rate below 60 beats per minute is known as

A

Bradycardia

18
Q

A heart rate above 100 beats per minute is known as

A

tachycardia

19
Q

Give one thing that the rhythm strip can tell you

A
  • heart rate
  • if each QRS complex is preceded by a P-wave
  • if PR interval is too short
  • if QRS complex is too wide
  • if QT interval is too long
20
Q

What does STEMI stand for?

A

ST Elevated Myocardial Infarction

21
Q

Is STEMI or NSTEMI clinically more severe?

A

STEMI

22
Q

Give a method for measuring heart rate from the rhythm strip

A
  • measure R-R interval and work out how many occur in 60 seconds
  • count R waves in 30 large squares and multiply by 10
23
Q

What is the normal QT interval?

A

About 0.42 seconds at 60 bpm

24
Q

What is the normal duration of the QRS complex?

A

About 0.08 seconds

25
Q

What is the normal duration of the PR interval?

A

About 0.12 - 0.2 seconds