ECG Flashcards

1
Q

what does the ECG record

A

the electrical activity of the heart

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2
Q

at rest what is the intracellular voltage of the myocardium compared to that of the extracellular space

A

-90mV

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3
Q

when does depolarisation of cardiac cells occur

A

when there is a sudden increase in permeability to the membrane of sodium

sodium rushes into the cell

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4
Q

what are the leads at the inferior wall of the left ventricle

A

II, III, aVF

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5
Q

what leads give a septal view

A

V1

V2

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6
Q

what leads give and anterior view

A

V3

V4

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7
Q

what leads give a lateral view

A
Lead I
V5
V6
aVR
aVL
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8
Q

what leads give an inferior view

A

Lead I
Lead II
aVF

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9
Q

what are the leads at the posterior left ventricle

A

V7,V8,V9

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10
Q

what is the interval of p wave duration

A

<0.12 sec

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11
Q

what is the time of the PR interval

A

0.12-0.2 sec

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12
Q

what is the time interval of the QRS

A

<0.1 sec

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13
Q

what are the normal, left axis deviated and right axis deviated cardiac vectors

A
  • normal = between -30 and +90
  • left axis deviation = between -30 and - 90
  • right axis deviation = between +90 and +150
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14
Q

what can cause ST segment depression on an exercise ECG

A

myocardial ischaemia provoked by exertion

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15
Q

what can cause ST segment elevation on an exercise ECG

A

transmural ischaemia

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16
Q

what is tilt testing

A
  • patient placed at 60 degrees to the vertical for 45 minutes
  • ECG and BP is monitored throughout

done for patients with suspected neurocardiogenic syncope