ECG Flashcards

1
Q

What does the p wave show

A

Atrial depolarization

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2
Q

What do PVCs do to the p wave

A

No p wave

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3
Q

What does a p wave look like in V tach

A

No p wave

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4
Q

What does a p wave look like in atrial arrhythmias

A

Abnormal or not identifiable

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5
Q

What does the p wave look like with hyperkalemia

A

Flattened

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6
Q

Which nutrient imbalance causes flattened p waves

A

Hyperkalemia

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7
Q

What does the PR interval show

A

Time for impulse to go from atria to conduction system to purkinje fibers

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8
Q

What does the QRS wave show

A

Ventricular depolarization

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9
Q

What does the QRS wave look like in PVC

A

Wide and premature

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10
Q

What does the QRS wave look like in v tach

A

Wide and bizarre

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11
Q

What does the QRS wave look like in v fib

A

No QRS

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12
Q

What does the QRS wave look like in hyperkalemia

A

Wide

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13
Q

What does the QRS wave look like in hypercalcemia

A

Wide

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14
Q

What does the QRS wave look like on antiarrhythmic agents

A

Prolonged QRS

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15
Q

What does the QRS wave look like in healthy individuals with exercise

A

Decreased R wave

Increased Q wave

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16
Q

Which nutrient imbalance causes the widening on the QRS wave

A

Hyperkalemia hypercalcemia

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17
Q

Which medication has a side effect of prolonging QRS

A

Antiarrhythmic agents

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18
Q

What does the ST segment indicate

A

The interval between depolarization and repolarization

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19
Q

What does the ST segment look like during coronary perfusion

A

Depression

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20
Q

What does the ST segment look like during hypothermia

A

Elevation

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21
Q

What does the ST segment look like on digitalis

A

Depression

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22
Q

What does the ST segment look like in the MI zone of injury

A

Elevated

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23
Q

What does the ST segment look like during exercise in a healthy individual

A

<1mm change

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24
Q

What does a less than 1mm change in ST segment signify with exercise?

25
What does a greater than 1mm change in ST segment signify with exercise?
MI
26
Which medication may cause ST segment depression?
Digitalis
27
What does the T wave signify
Ventricular repolarization
28
What happens to the T wave with hyperkalemia
Peaked
29
What happens to the T wave with hypokalemia
Flattened/ inverted
30
What happens to the T wave on digitalis
Flattened
31
What happens to the T wave on quinidine
Flattened
32
What happens to the T wave in the MI zone of ischemia
Inverted
33
Which nutrient imbalance causes T wave peaking
Hyperkalemia
34
Which nutrient imbalance causes T wave flattening/ inversion
Hypokalemia
35
Which medication may causes T wave flattening
Digitalis and quinidine
36
What does the QT interval indicate
Time for electrical systole
37
What effect does hypercalcemia have on the QT interval
Shorten
38
What effect does hypocalcemia have on the QT interval
Prolonged
39
What effect does digitalis have on QT interval
Shortened
40
What effect does quinidine have on QT interval
Lengthened
41
What effect do antiarrhythmic agents have on QT interval
Prolonged
42
What effect does exercise have on QT interval in healthy individuals
Shorten
43
Which drug prolongs QT intervals
Antiarrhythmic agents
44
Which drug shortens QT intervals
Digitalis
45
Which drug lengthens the QT interval
Quinidine
46
What are the PVC emergencies
``` >6 per minute Paired PVC Sequential runs Multi focal Very early ```
47
What will you observe in the ECG of a patient in the zone of MI infarction
Q wave
48
What will you observe in the ECG of a patient in the zone of MI injury
Elevated ST segment
49
What will you observe in the ECG of a patient in the zone of MI ischemia
T wave inversion
50
What will you observe in the ECG of a patient with transmural MI
Q wave or ST segment elevation
51
What will you observe in the ECG of a patient with nontransmural MI
Non Q wave, non ST elevation
52
Changes in the anterior wall are seen on
V1-V6
53
Changes in the arteroseptal are seen on
V1-V2
54
Changes in the anteroapical are seen on
V3-V4
55
Changes in the anterolateral are seen on
V5-V6, I, aVL
56
Changes in the lateral wall are seen on
Leads I and aVL
57
Changes in the inferior wall are seen on
II, III, aVF
58
Changes in the posterior wall are seen on
Not usually seen on an ECG but V7-9
59
Arrhythmias with age
Longer PR and QT intervals | Wider QRS