ECG + Heart Anatomy Flashcards
Irregular rhythm- slight but regular lengthening and then shortening
Sinus arrhythmia
Common in young
AF
no P waves
Irregularly irregular QRS
Atrial Flutter
Sawtooth P wave
Regular QRS
P waves in different leads
Upright in II, III, aVF
Inverted in aVR
P-mitrale
bifid P wave
Indicates left atrial hypertrophy
P-pulmonale
Peaked P wave
Indicates right atrial hypertrophy
Hyperkalaemia
Pseudo-P pulmonale seen
Prolonged PR interval
Delayed AV conduction
1st degree heart block
Short PR interval
Unusually fast AV conduction down an accessory pathway
e.g. Wolff-Parkinson White
Prolonged QRS
Ventricular conduction defects (e.g. bundle branch block)
Metabolic disturbance
Ventricular origin
High amplitude QRS complex
Ventricular hypertrophy
Q wave normal
<0.04s
Often seen I, aVL, V5, V6
Reflects normal septal depolarisation
Pathological Q waves
Deep and wide
Acute MI
Prolonged QT interval
Brugada syndrome (sudden cardiac death)
Congenital Prolonged QT
Romano-Ward syndrome
Jervell syndrome
Lange-Nielsen syndrome