ECG + Heart Anatomy Flashcards

1
Q

Irregular rhythm- slight but regular lengthening and then shortening

A

Sinus arrhythmia

Common in young

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2
Q

AF

A

no P waves

Irregularly irregular QRS

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3
Q

Atrial Flutter

A

Sawtooth P wave

Regular QRS

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4
Q

P waves in different leads

A

Upright in II, III, aVF

Inverted in aVR

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5
Q

P-mitrale

A

bifid P wave

Indicates left atrial hypertrophy

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6
Q

P-pulmonale

A

Peaked P wave

Indicates right atrial hypertrophy

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7
Q

Hyperkalaemia

A

Pseudo-P pulmonale seen

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8
Q

Prolonged PR interval

A

Delayed AV conduction

1st degree heart block

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9
Q

Short PR interval

A

Unusually fast AV conduction down an accessory pathway

e.g. Wolff-Parkinson White

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10
Q

Prolonged QRS

A

Ventricular conduction defects (e.g. bundle branch block)
Metabolic disturbance
Ventricular origin

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11
Q

High amplitude QRS complex

A

Ventricular hypertrophy

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12
Q

Q wave normal

A

<0.04s
Often seen I, aVL, V5, V6
Reflects normal septal depolarisation

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13
Q

Pathological Q waves

A

Deep and wide

Acute MI

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14
Q

Prolonged QT interval

A

Brugada syndrome (sudden cardiac death)

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15
Q

Congenital Prolonged QT

A

Romano-Ward syndrome
Jervell syndrome
Lange-Nielsen syndrome

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16
Q

Cardiac Prolonged QT

A

MI
Ischaemia
Mitral valve prolapse

17
Q

Metabolic Prolonged QT

A
Hypokalaemia
Hypomagnesaemia
Hypocalcaemia
Starvation
Hypothyroidism
Hypothermia
18
Q

Toxins Prolonged QT

A

Organosphosphates

19
Q

Anti-arrhythmic drugs Prolonged QT

A

Quinidine
Amiodarone
Procainamide
Sotalol

20
Q

Antihistamines Prolonged QT

A

Terfenadine

Astimazole

21
Q

Motility drugs Prolonged QT

A

Domperidone

22
Q

Psychoactive drugs Prolonged QT

A

Haloperidol
Risperidone
TCAs
SSRIs

23
Q

Herbalism Prolonged QT

A

Chinese folk remedies
Cocaine
Quinine
Artemisins (anti-malarials)

24
Q

ST Elevation

A

> 1mm

Infarction

25
Q

ST depression

A

> 0.5mm

Ischaemia

26
Q

Normal T wave

A

Normally inverted in aVR, V1 (and V2)
Normal if inverted in isolation in III
Abnormal if inverted in I, II, V4-V6

27
Q

Peaked T wave

A

Hyperkalaemia

28
Q

Flattened T wave

A

Hypokalaemia

29
Q

J wave

A

Where S wave finishes + ST segment starts
J wave is a notch at this point
Seen in hypothermia, SAH, hypercalcaemia

30
Q

Normal Axis

A
-30 to 90
Lead I (0) +
Lead II (60)` +
31
Q

Left Axis Deviation

A
32
Q

Right Axis Deviation

A
>90
Lead I (0) -
Lead II (+60) +