ECG - Advanced Flashcards
What is meant by superventricular rhythm
Electrical signals that are generated above the ventricle
What are the sites of supraventricular rhythm
Atrium, AV node (junctional), SA node
What is the reason for a supraventricular ectopic escape
Non firing from respective Node etc above
WHa are the characteristics of a Supraventricular ectopic escape
SA node - P waves
AV node (junctional) no P wave
Atrium - Abnormal P wave
Will all retain normal QRS waves, then a long delay while heart returns to sinus rhythm
What is meant by ventricular rhythm
Electrical signals that are generated in the ventricle
What is observed in ventricular ectopic escape
Abnormal QRS wave and inverted T wave after sinus rhythm, sometimes a R on T can be seen
Characteristics of Atrial tachycardia
Very fast regular rhythm of 150 bpm, p waves are hard to see as can be within preceeding T wave, QRS waves are normal
Characteristics of Atrial flutter
P wave rate of up to 300 bpm but dont all give rise to QRS, typcially a saw tooth appearance, QRS waves normal
Characteristics of Atrial fibrillation
Classically described at Irregularly Irregular, no P waves
Characteristics of Junctional Tachycardia
Very similar to atrial tachycardia yet no P waves
Characteristics of ventricualr tachycardia
Distorted QRS wavevs yet regular, widened with no P or T waves
Characteristics of RBBB
V1 will look like a M, and V6 will look like a W
Characteristics of LBBB
V1 will look like a W, and V6 will look like a M
Characteristics of Ventricualr Fibrillations
Is off the charts, no recognizable rhythm and will typcially look like leads havn’t been attached properly, patient will normally lose conscienceness at this stage - defib immediately
Characteristics of Wolf- Parkinson- White syndrome
QRS will have a delta wave, a small upstroke in the QRS as the left ventricle de-polarises before the right ventrricle due to re-entry circuits