ecg exam 1 Flashcards
V3 and V4
anterior wall
large block method
count the number of large blocks between two Rs and divide 300 by that number
six second method
count the number of Rs within a six second strip and multiply that number by 10
atrial rate measurement
measure HR between Ps
sinoatrial node
first pacemaker site, has rate of 60-100bpm
extreme right axis deviation
net negative deflection in Lead I and AVF
limb leads
frontal plane, bipolar
positive deflection
electricity flows from a negative to a positive electrode
negative deflection
electricity flows from a positive electrode to a negative electrode
no deflection
electricity flows perpendicularly to an electrode
one small block
.04 seconds
atrioventricular node
second pacemaker site, has rate of 40-60 bpm
purkinje fibers
third pacemaker site, has a rate of 15-40 bpm
V3 and V4
anterior wall
axis deviation
look at leads I and AVF
P wave
atrial depolarization
QRS complex
Ventricular depolarization
T wave
ventricular repolarization
standard calibration measurement
two large blocks (10 mm)
lead II, III, AVF
inferior wall
small block method
count the number of small blocks between Rs and divide 1500 by that number
sinus P wave
less than 2.5 mm
limb leads
frontal plane, bipolar
precordial/chest leads
horizontal plane
normal axis deviation
net positive deflection in Lead I and AVF
left axis deviation
net positive deflection in lead I, net negative deflection in AVF
pathologic left axis deviation
net negative deflection in Lead II
right axis deviation
net negative deflection in lead I, net positive deflection in AVF
RA + LA placement
2 cm inferior to the clavicle and 2 cm medial to the deltoid mm
RL + LL placement
half the distance between the last rib and iliac crest
V1 and V2 placement
4th intercostal space to the left and right of the sternum
V3 placement
midway between V2 and V4
V4 placement
5th intercostal space, midclavicular line
early transition
equiphasic R and S in V1 or V2
normal transition
equiphasic R and S in V3 or V4
late transition
equiphasic R and S in V5 or V6
normal PR interval
between .12 and .2 seconds
intercalated discs
joints in cardiac muscle tissue that transmit impulses very quickly through the tissue
Lead I and AVL
lateral, high part of the LV
V1 and V2
septal wall and part of the anterior wall
V5 and V6
mid-lateral wall of LV
ventricular rate measurement
measure HR between Rs
Dubin’s method
find an R on a vertical dark line and count the number of large boxes until the next R (300, 150, 100, 75, 60, 50)
irregular rhythm
when Rs have a deviation of greater than .06 seconds (1.5 small blocks)
stages of depolarization
septal and early right ventricular activation, apical activation, left ventricle activation
V5 placement
5th intercostal space, anterior axillary line
V6 placement
5th intercostal space, axillary line
normal QRS interval
less than .12 seconds
equiphasic
upward and downward deflections result in net 0 deflection
normal QT interval
no greater than .48 seconds