ECG Interpretation Flashcards
Axis positive in lead 1 and 2
Normal
Axis positive in lead II, negative in I
RAD
Axis positive in 1, negative in 2
LAD
Negative in leads I and II
RAD/NW axis
P waves not associated with QRS
Heart block
Absent p waves
Atrial issue - a fib or flutter
Sawtooth baseline
Flutter waves
Chaotic baseline
Fibrillation
Flat line
No atrial activity at all
Broad QRS
Ventricular ectopic beat, BBB
T waves are due to
Repolarization of the ventricles
Tall T waves
Hyperkalemia, STEMI
Lateral leads
I, aVL, V5, V6
Inferior leads
II, III, aVF
Anterior septal eads
V1-4
Leads V1-V4 are
Anterior/septal
Leads I, AVL, V5 V6 are
Lateral
Leads II, III, aVF are
Inferior
No p wave produces a QRS in
Complete heart block
Symptoms seen in patient with complete heart block
Syncope, angina, presyncope
RBBB characteristic appearance on ECG
Anterioseptal leads have bunny ears “triphasic complexed”
1st degree AV block
Long PR interval
2nd degree AB block Wenckebach 1 presentation on ECG, and potential causes?
Progressive prolongation of PR then a dropped P wave.
Can be caused by BB, CCB, digoxin, inferior MI.
2nd degree AV block mobitz type II
Intermittent non conducted P waves, without progressive prolongation