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GBA Pathophysiology > ECG Strips > Flashcards

ECG Strips Flashcards

1
Q
A

Ventricular Tachycardia

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2
Q
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Hypokalemia turning to Ventricular Fibrilation

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3
Q
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Bradycardia
2nd degree AV block - 2:1

(Since no U waves in chest leads this is not Hypokalemia)

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4
Q
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RBBB : Rabbit Ears on V1

Inferoposterior Acute MI:

Patho Q and ST elevation on III and Recipricolly on V2,V3

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5
Q
A

WPW type A - Pre excitation:
Short PR and wide QRS

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6
Q
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Ventricular Parasystole / LBBB

LVH

Anterior Acute STEMI - V1-V4

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7
Q
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Atrial Fibrilation

RBBB

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8
Q
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Bifascicular Block:

  1. RBBB - Rabbit ears on V1
  2. Left posterior Hemiblock - ERD - Negative lead I
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9
Q
A
  • *1st degree AV block -** Long PR
  • *Right Ventricular Hypertrophy:**Dominant R wave on V1,2,3
  • *Right Axis Deviation :** Negative R on Lead I
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10
Q
A

Ischemia / stable angina ( T inversion / biphasic)

Acute anterior MI

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11
Q
A

Hypokalemia

Flat T waves + U waves in leads II, III, aVF, V5-6

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12
Q
A

Severe Hypokalemia:

Long QT, U waves and Flat T waves with Inconstat Baseine

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13
Q
A

Trifascicular Block:

  1. RBBB - Rabbit ears on V1
  2. Left anterior Hemiblock - ELD - aVF+II Negative
  3. AV 1st Degree block - PR over 5 small squares
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14
Q
A

Sinus Bradycardia

  • *2nd degree AV block - Mobitz I**
  • *Inferior subacute MI** -Pathological Q waves in III and aVF (more than 1/4 of R) , T inversion
  • *Wide QRS** - Aberrnt conduction (from MI)
  • *Left Ventricular Hypertrophy -**According to Sokolov-Lyon Principle: S wave of V1 + R Wave V5 are Bigger than 35mm
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15
Q
A

Idioventricular Rhythem

High Lateral Hyperacute STEMI: V5-V6, I, aVL

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16
Q
A

Sinus Bradycardia
Left Ventricular Hypertrophy:Sokolow-Lyon criteria
hyperacute anterior MI :ST segment elevation in V2,V3
Wellen’s syndrome: T is Biphasic and inverted in V2-V6

  • This syndrome’s ECG is a manifestation of critical proximal LAD coronary a.Stenosis in patients with unstable angina
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17
Q
A

Sinus Bradycardia

High Lateral Ischemia - I, V4-6, T Inversion+ST depression

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18
Q
A

Junctional Tachycardia - Inverted P+ High HR

Ventricular Ectopic Beat

Old septal MI - Pathological Q waves in V1, V2 (“Q+S”)

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19
Q
A

2nd degree AV block - Mobitz Type I
LAD (-30)
V1-V3 - short R waves

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20
Q
A

AVNRT

Regular Rhythm

HR - 200 BPM

Narrow QRS

Lack of Distinct P wave - Joined with QRS; Psuedo S waves

No WPW Pattern

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21
Q
A

Sinus Bradycardia

LAD

Peaked T waves + Short QT Segment:

Hypercalcemia/Congenital short QT Syn

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22
Q
A

1st Degree AV block

Acute Extensive MI

V1-V6 + I ST Segment Elevation + Pathological Q oN V1-4

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23
Q
A

3rd Degree AV Block

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24
Q
A

Orthodromic AVRT

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25
Q
A
  • *RBBB** - “Rabbit Ears on V1”
  • *Acute inferior MI** : Pathological QRS and ST elevation in II,III,aVF
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26
Q
A
  • *Junctional Tachycardia:** Accelerated AV Nodal Impulse ,P wave is after QRS complex
  • *Left Axis Devation**
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27
Q
A

Normal ECG Tracing

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28
Q
A

Pericarditis

  • Most prominant finding is ST elevation in several leads that DO NO correspond to the area of supply of Any coronary
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29
Q
A

Trifascicular Block :

1st degree AV block + LBBB

Anterior Acute MI - V1,V2,V3

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30
Q
A

Normal ECG Tracing

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31
Q
A

Hypocalcemia:

Longer QT+ Longer ST with no change in T wave

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32
Q
A

Multifocal Atrial Tachycardia - Some are Inverted P waves some are Upright.

Left Ventricualr Hypertrophy - According to Sokolov-Lyon Principle: S wave of V1 + R Wave V5 are Bigger than 35mm

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33
Q
A

Junctional and Ventricular Escape Rhythms

34
Q
A

3rd Degree SA Block

Junctional Escape Rhythems

35
Q
A

AVRT - Orthodromic

WPW - Type B (Negative V1)

36
Q
A

Arrythmia caused by Ventricular Trigemny (VEB/PVC)

37
Q
A

ERD

Low Voltage - Amyloidosis:

Inappropriate Scartissue replacing Myocardium after MI

38
Q
A

P Pulmonale

V1-V3 small R waves

39
Q
A

Second Degree AV Block - Mobitz Type 1

Inferior Acute STEMI - III, II, aVF

Left Ventricular Hypertrophy

40
Q
A

Posteroinferiolateral Hyperacute STEMI -

V2-3, (ST- Depression), II, III, aVF, V5-6

41
Q
A

P - Pulmonale
LAD (-20~)
Anteroseptal Hyperacute MI - V1,V2,V3 ST elevation
LVH
PVC

42
Q
A

Sinus Bradycardia

P - Mitrale (LAH) - Notched P wave

Inverted T waves, V1-6: Subacute Extensive Ischemia
No Patho Q - So more likely to be Normal Variation

43
Q
A

Sinus Bradycardia

Delta Waves Present on III and II, Negative V1→ WPW Syndrome Type B

  • *Old Septal MI** - V1,V2
  • *Left Ventricular Hypertrophy** - Sokolow-Lyon Criteria
44
Q
A

Hypercalcemia

QT is very short, all elements are crowded together

45
Q
A

Sinus Rhythm

Trifascicular Block:

  1. RBBB - “Rabbit Ears on V1”
  2. First Degree AV Block : Long PR
  3. LPH - Negative R in Lead I (No Right Ventricular Hypertrophy - No P Pulmunale)
46
Q
A
  • *Inferior old/subacute MI** - Pathological Q waves in II,III, aVF
  • *RBBB** - Rabbit Ears V1 R wave + Wide QRS
  • *Extreme Left Axis Deviation** - Inverted R Lead II (Cause of MI)
47
Q
A

Sinus Bradycardia

Hypothermia: Osborn Wave (J) elevation+Tall T waves

48
Q
A

Antedromic AVRT

49
Q
A

Atrial Bradyfibriation - Digitalis Effect:

Scooped ST Depression (obvious on V5), Short QT, U waves

50
Q
A

Left Ventricular Hypertrophy

Patological Q waves on aVL - Old Infract

51
Q
A

2nd Degree SA Block - Mobitz Type I

52
Q
A

Atrial Fibrilation

Bifascicular Block:

  1. Extensive Left Axis Deviation - Negative aVF and II
  2. RBBB-Not the classical; Wide QRS+ “V2 Rabbit Ears”
53
Q
A

Ventricular Ectopic Beats - Trigeminy Arrythmia

Left Ventricular Hypertrophy - Sokolov Criteria

54
Q
A

Sinus Bradycardia

55
Q
A

Sinus tachycardia
Inferior and lateral hyperacute MI (ST elevation only)
Posterior acute MI (Q and ST elevation)

56
Q
A

Atrial Multifocal Tachycardia - Arrhythmic with Atrial escape beats

ELD

Subacute anteroseptal MI - V1-V3 Patho Q, ST elevation, T Inversion

57
Q
A

AVNRT

58
Q
A

Atrial Fibrilation

High Degree RBBB (marked one beat)

SIQIIITIII Pattern - Pulmonary Embolism

59
Q
A

2nd degree AV block - Mobitz Type I

LBBB - “Notched Towe”r on first R of V6 + Wide QRS

Extreme Left Axis Deviation - Negative R in Lead II (cause of LBBB)

60
Q
A

Dual pacemaker - Atria and Ventricles
Ventricular Ectopic Beats (PVC) in aVR , aVL , aVF

61
Q
A

Pulmonary Emboism:

S1Q3T3 Pattern - Negative Signals in Corresponding Leads

also : Sinus Tachycardia, Incomplete RBBB

62
Q
A

Sinus Tachycardia

Pericardial Effusion: Electric QRS Alternans

63
Q
A

Atrial Flutter

64
Q
A

Left Axis Deviation - aVF Negative, II Biphasic

Premature Ventricular Contraction (1 only is present)

LBBB - “Notched R in I”

Left Ventricular Hypertrophy - Sokolow Criteria , Strain Phenomena T inversions

65
Q
A

WPW-type B (Atrial Rhythem)

AVRT-Orthodromic Tachycardia (150 BPM)

66
Q
A

AVNRT - AV Nodal Reentrant Tachycardia

Rhythmic, Tachycardia

In Lead III there are Retrograde P waves

67
Q
A

Sinus Bradycardia

LAD

Hyperkalemia - Isoelectric ST + PEAKED T in Chest leads

68
Q
A

Atrial Fibrilation

Bifascicular Block :

  1. RBBB - Rabbit Ears on V1
  2. ELD - Anterior Fascicle Hemiblock
69
Q
A

Sinus Bradycardia

Old Infraction - Pathological Q and T inversion on III

70
Q
A

Pericarditis - ST Elevation in Almost Every Lead

71
Q
A

AV 2:1 Conducation Block

Ischemic Heart Disease - T wave Inversions

72
Q
A

AVNRT

NO Retrograde P wave Deform ST Segment (+No WPW)

73
Q
A

Bruguda Syndrome

74
Q
A
  • *Polymorph PVC**
  • *Digoxin Effect** - ‘Reverse Tick’ ST Segment Depression is shown in V5 V6 leads (Scooped ST), T reduction and QT Shortening. (Atrial bradyfibrilation)

  • Blocks Na+/K+ ATPase
  • Increased Ca2+ in cells —> easily contracted muscle
75
Q
A

Digitalis Toxicity

(Source of Digoxin)

76
Q
A
  • *Multifocal Atrial Tachycardia** - arrhythmia, different morphology of P wave
  • *Right Ventricular and Atrial Hypertrophy** - P Pulmonale + R Dominant on V1
77
Q
A
  • *Atrial fibrillation** - No baseline
  • *ELD** - Negative aVF and II ,Wide QRS - LAH
  • *LVH**
78
Q
A

LGL Syndrome

Short PR (NO DELTA WAVE)

79
Q
A

Left Axis Deviation

Allorhythmia - Ventricular Bigeminy

80
Q
A

ELD - Negative aVF and II

Inferior-Anterior Acute MI - V1-3,aVF, III : ST elevation and Pathological Q waves

81
Q
A

Rhythmic

3rd Degree AV Block with Junctional Escape Beats

Inferior Hyperacute MI

Anterior Ischemia

GBA Pathophysiology (17 decks)

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