Ecg Segment Abnormalities Flashcards

1
Q

What causes tall p waves

A

Right atrial hypertrophy

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2
Q

What ecg change is seen in left atrial hypertrophy

A

Broad p wave

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3
Q

What are some causes of broad qrs

A

Bbb or ventricular pacing

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4
Q

What causes tall qrs

A

Ventricular hypertrophy

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5
Q

What would cause tall qrs in v5 and v6

A

Lvh

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6
Q

What is meant by a “conduction window” in regards to q waves

A

If MI is transmural, septal conduction is exaggerated on the ecg, showing deep and wide q waves

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7
Q

What can cause wide spread st elevation

A

Pericarditis

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8
Q

What can cause t wave inversion

A

Ischaemia, bbb, ventricular hypertrophy or digoxin

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9
Q

What ecg changes can digoxin cause?

A

Down sloping st depression with twi

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10
Q

What ecg change will high or low potassium cause?

A

High k+ peaked t waves

Low k+ flattened t waves

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11
Q

What picture would pulmonary embolism show on ecg

A

Right ventricular hypertrophy

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12
Q

What are ecg signs of a PE

A
Peaked P wave
R axis deviation
Tall R waves in v1
Rbbb
Twi in v3 or v2
Shift in R/S transition point towards left heart 
Q wave in III
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13
Q

What causes the ecg pattern seen in fibrilation?

A

Individual muscle fibres conducting asynchronously

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14
Q

What causes re-entry tachycardia?

A

Existence of accessory fibre from left atrium to ventricle, conduction going from bundle of His back up to atria thru accessory pathway

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15
Q

What does re-entry tachycardia look like on ecg

A

tachy with no p waves

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16
Q

What can cause a bifid p wave

A

Left atria hypertrophy