ECG Flashcards

1
Q

outline the artery territories and what position they supply

A
  • Left coronary artery
    • ANTEROLATERAL
  • Right coronary artery
    • INFERIOR
  • Circumflex
    • LATERAL
  • LAD
    • ANTERIOR/SEPTAL
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2
Q

what does each artery supply

A
  • RCA
    • RA
    • RV
    • inferior aspect of LV
    • posterior septal area
  • Circumflex
    • left atrium
    • posterior aspect of LV
  • LAD
    • anterior aspect of LV
    • anterior aspect of septum
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3
Q

outline ECG territories

  • lateral
  • anterior
  • inferior
  • septal
A
  • Lateral
    • aVL, I, V5, V6
  • Anterior
    • V4, V3
  • Septal
    • V1, V2
  • Inferior
    • II,III, aVF
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4
Q

what is a normal axis?

A

both I and II +ve

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5
Q

how is left axis deviation seen?

A

I +ve and II -ve

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6
Q

how is right axis deviation seen?

A

I -ve and II +ve

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7
Q

what does left axis deviation indicate?

A
  • inferior MI
  • LVH
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8
Q

what does Right axis deviation indicate?

A
  • anterolateral MI
  • RVH, PE
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9
Q

summary table of artery, heart area it supplies and ECG leads

A
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10
Q

outline ECG changes in RBBB

A

MaRRooN

  • M shape in V1
  • N shape in V6
    • N=Normal QRS, just a bit wider

(rSR= small rise, big drop, and even bigger rise)

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11
Q

outline ECG changes in LBBB

A

ViLLhelM

  • V shape in V1
  • M shape in V6
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12
Q

outline the waves in the JVP and what they signify

A
  • a wave= atrial systole
  • c wave= tricupsid valve closing
  • v wave= passive atrial filling
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13
Q

in what instance would you have a raised JVP?

A
  • RHF
  • fluid overload
  • SVC obstruction
  • pericardial tamponade
  • constrictive pericarditis
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14
Q

in what pathology would large JVP A waves be seen?

A
  • PHT
  • Tricuspid stenosis
  • Pul stenosis
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15
Q

when would JVP a waves be absent?

A

AFib

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16
Q

in what pathology would you see large JVP V waves?

A

tricuspid regurgitation

17
Q

in what pathologies would you see cannon A waves on JVP

A
  • complete heart block
  • certain arrythmias
18
Q

causes of LBBB

A
  • IHD
  • LVH
  • Aortic valve disease
  • Cardiomyopathy
  • Myocarditis
19
Q

causes of RBBB

A
  • normal variant
  • RVH/RV strain
  • IHD
  • Myocarditis
  • congenital heart disease
20
Q

what is bundle branch block?

A

delay or blockage along the pathway that electrical impulses travel to make heart beat

21
Q

ECG findings in RVH

A
  • right axis deviation
  • +ve right wave in V1
22
Q

causes of a low voltage ECG? ie small complexes

A
  • COPD
  • hypothyroidism
  • pericardial effusion
  • dextrocardia
  • cardiomyopathy
23
Q

causes of ST depression?

A
  • NSTEMI
  • Digoxin
24
Q

causes of ST elevation?

A
  • MI
  • Pericarditis
  • Hyperkalaemia
  • Prinzmental’s angina
  • LV aneurysm
  • takotsubo cardiomyopathy
  • normal variant - high take off
25
Q

causes of T wave inversion?

A
  • Ischaemia
  • Digoxin
  • PE
  • Ventricular hypertrophy
  • Cardiomyopathy
26
Q

mnemonic to read ecg

A

ARI BAR TIME CAN’T WAIT IN A STEMI

Any electrical activity?

Rate?

Irregular or regular rhythm?

Broad QRS?

Any P waves?

Relationship between P waves and QRS

T/Q waves

Cardiac axis (LAD/RAD)

Wave morphology (P waves + QRS wave- LBBB/RBBB?)

ST segment / PR interval / QT interval

27
Q

Causes of PR interval lenghtening

A

Heart Block

28
Q

Causes of PR interval shortening?

A
  • HOCM
  • Accessory condiction ie WPW
29
Q

Normal PR interval?

A

120-200ms

30
Q

Normal QT interval?

A

380-420 ms

31
Q

Causes of QT lengthening?

A

Toxins

  • TCA
  • Anti-arrhythmics (amiodarone, quinidine)
  • Anti-histamine
  • Macrolides

Ischaemia / Inherited conditions

Myocarditis

Mitral valve prolapse

Electrolytes: ↓ Mg, Ca, K, reduced temp

32
Q

Causes of QT shortening? (<380ms)

A
  • Digoxin
  • B-Blockers
  • Phenytoin
33
Q

in which leads are inverted T waves an abnormal finding?

A

I, II and V4-6