ECGs Flashcards

1
Q

what does height and width indicate

A

height: voltage
width: time

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2
Q

what is height and width of 1 small box

A

H: 0.1mV
W: 40ms

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3
Q

what is height and width of large box

A

H 0.5mV

W: 200ms

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4
Q

what does pulse at beginning mean

A

1mV

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5
Q

how long is a full strip

A

10s

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6
Q

2 ways to figure out HR

A
  1. count all and x6

2. 300/# of squares between beats

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7
Q

what does pos vs neg wave mean

A

direction of wave

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8
Q

what is key to measure of whether pos or neg

A

area under the curve

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9
Q

which leads measure coronal vs. transvers

A

coronal: limb leads
transverse: precordial

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10
Q

where are leads 1,2,3

A

1 - left arm 0deg
2 - left leg +60
3 - right arm +120

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11
Q

where are aVL, aVF, aVR

A

aVL: -30
aVF: +90
aVR: -150

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12
Q

which 2 pairs are perpendicular

A
  1. 1 and aVF

2. 2 and aVL

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13
Q

where do precordial leads go

A

V1 and V2: either side of sternum
V4: midclavicular
V6: mid axillary

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14
Q

what do V1 and V2 measure

A

septum

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15
Q

what do V3 and V4 measure

A

L vent

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16
Q

what measures lateral wall

A

1, aVL, V5, V6

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17
Q

what measures inferior wall

A

2, 3, aVF

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18
Q

where is normal vent. polarization from

A

1 and 2

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19
Q

where is normal QRS axis

A

-30 to +90

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20
Q

where is left axis deviation (LAD)

A

-90- -30

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21
Q

where is RAD

A

+180 - +90

22
Q

what do P R T wave represent

A

P - atrium
R - ventricles
T - reporlarization

23
Q

what is normal P wave amplitude and duration

A

amp: <0.25mv (2.5 small boxes)
dur: 40-120 (1-3 small boxes)

24
Q

what is PR interval and what does it represent

A

start of P to start of R

- time through atria and AV node

25
normal PR interval
120-200 (3-5 small squares)
26
what is PR segment
end of P to beginning of R | - AV node delay
27
what is normal amplitude of PR segment
flat
28
what is QRS interval and what does it represent
beginning of Q to end of S | - his, purkinje, ventricles
29
what is normal QRS interval
<120ms (3 small squares)
30
what is ST segment
end of S to beginning of T | - completion of ventricular polarization
31
what is J point
junction of QRS and ST
32
what is normal T wave amp
1/3 to 1/2 of corresponding wave
33
what is QT interval
beginning of Q to end of T
34
what is normal QT interval
1/2 of RR - 300-440 ms
35
7 things that must be inspected in ECG
1. Rate 2. Rhythm and PR interval 3. Axis 4. The QRS 5. ST segment 6. QT interval and QTc 7. T wave abnormalities
36
RATE: what is normal rate
60-100brm
37
RHYTHM: 3 things to assess in rhythm
1. are P and R connected 2. reg or irreg 3. P before each QRS
38
where is normal sinus rhythm pos in leads
pos towards feet and L
39
AXIS: what 2 leads to check for normal axis
1 and aVF should both be pos
40
THE QRS: 2 things to check in QRS
1. width | 2. voltage
41
what is too wide QRS and what does it mean
>120ms - bundle block
42
what is QRS interval for R and L bundle block
R: 110-130 L: 120-140
43
what will we see in RBBB
big pos. jump on V1 and V2 because of RV hypertrophy
44
what will we see in LBBB
big neg S wave in V1 and V2
45
what does big or small QRS tell us
too big - hypertrphy | too small - dead tissue or far from lead
46
what will we see in RV hypertrophy (3)
1. R wave in V1 > 7mV 2. R axis deviation > 110 3. R
47
what will see in limb leads of LV hypertrophy (2)
1. R wave in aVL > 11mm | 2. R wave lead 1 + S wave lead 3 > 25mm
48
what will see in precordial leads in LV hypertrophy (2)
1. R wave V5 or V6 > 26,, | 2. R wave V5 or V6 + S wave V1 > 35mm
49
ST SEGMENT: what to look for
elevated or depressed
50
QT INTERVAL: what to look for
length of interval (8-11 normal)
51
T WAVE: what to look for (2)
1. size | 2. inversion
52
what do probes with T wave indiacate
pre death