ECGs Flashcards

1
Q

What happens to potential for the heart to contract? [1 mark]

A

Changes from negative to positive (relative to the inside of the cell)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is a dipole in a heart? [1 mark]

A

When there’s a potential difference between one part of a myocyte and another

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is set up around a dipole in the heart? [1 mark]

A

An external electrical field

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What happens to the potential difference in depolarisation or repolarisation? [1 mark]

A

No potential difference (so no electrical field)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is a lead? [1 mark]

A

An electric dipole consisting of two equal and opposite charges (+q and -q)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Where does most depolarisation occur in the heart? [1 mark]

A

Bottom right corner

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the three bipolar leads? [4 marks}

A

I, II and III (to form aVR, aVL and aVF)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Where is the V1 chest lead placed? [2 marks]]

A
  • 4th intercostal space

- Right sternal edge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Where is the V2 chest lead placed? [2 marks]]

A
  • 4th intercostal space

- Left sternal edge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Where is the V3 chest lead placed? [1 mark]

A

Equidistant to V2 and V4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Where is the V4 chest lead placed? [2 marks]]

A
  • 5th intercostal space

- Midclavicular line

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Where is the V5 chest lead placed? [2 marks]]

A
  • Left anterior axillary line

- In horizontal line with V4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Where is the V6 chest lead placed? [2 marks]]

A
  • Mid axillary line

- Horizontal with V4 and V5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which leads measure the septal surface? [2 marks]

A
  • V1

- V2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Which leads measure the anterior surface? [2 marks]

A
  • V3

- V4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Which leads measure the lateral surface? [4 marks]

A
  • V5
  • V6
  • I
  • aVL (left wrist)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Which leads measure the inferior surface? [3 marks]

A
  • II
  • III
  • aVF (left ankle)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What does Bachmann’s bundle do? [1 mark]

A

It carries impulses from the right side of the heart to the left side.

19
Q

What does the left bundle of His divide into? [2 marks]

A
  • Anterior fascicle

- Posterior fascicle

20
Q

How long does the AV node delay impulses for? [1 mark]

A

.2 seconds

21
Q

What does the P wave show? [1 mark]

A

Depolarisation of both atria

22
Q

What is the line between the P wave and QRS complex? [1 mark]

A

The delay of depolarisation at the AV node.

23
Q

What is the QRS complex and how long does it last for? [2 marks]

A
  • The depolarisation and subsequent contraction of ventricles
  • Lasts for 80-110ms
24
Q

What is the QT interval? [2 marks]

A
  • Ventricular depolarisation and repolarisation

- Lasts for 350-420ms

25
Q

What is the ST segment? [1 mark]

A

Repolarisation of ventricles

26
Q

What does a depressed ST segment tell us? [1 mark]

A

Ischaemia

27
Q

What does an elevated ST segment tell us? [1 mark]

A

Myocardial infarction

28
Q

How long does the PR interval last for? [1 mark]

A

~200ms

29
Q

What is tachycardia? [1 mark]

A

Fast heartbeat

30
Q

What is bradycardia? [1 mark]

A

Slow heartbeat

31
Q

What does sinus mean? [1 mark]

A

It starts from the sino-atrial node

32
Q

What happens to the R-R interval in sinus bradycardia? [1 mark}]

A

Increases

33
Q

In what group is sinus arrhythmia normal? [1 mark]

A

Young people

34
Q

What are the two types of arrhythmias? [2 marks]

A
  • Conduction abnormalities

- Abnormal impulse initiation

35
Q

What happens in sino-atrial block? [3 marks]

A
  • No impulse from SA node
  • Impulse from elsewhere
  • R-R interval is irregular
36
Q

What happens in atrio-ventricular block? [2 marks]

A
  • No impulse from AV node

- No ventricular contraction

37
Q

What happens in ventricular ectopics and what causes them? [2 marks]

A
  • Extra systoles

- Caused by stimulants

38
Q

What causes tachycardia? [3 marks]

A
  • Altered automaticity
  • Normal AP swings to positive again (extra depolarisations)
  • Reentry of calcium
39
Q

What happens in atrial fibrillation? [2 marks]

A
  • No distinct P wave

- Abnormal R-R interval

40
Q

What happens in atrial flutter? [2 marks]

A
  • Saw tooth pattern in wave

- Because AV node keeps getting re-stimulated

41
Q

Which group is most likely affected by supraventricular tachycardia? [1 mark]

A

Young people

42
Q

What does supraventricular mean? [1 mark]

A

Tachycardia that originates from a location within the heart above the bundle of His.

43
Q

What can cause supraventricular tachycardia? [5 marks]

A
  • Nothing
  • Exertion
  • Stimulants
  • Alcohol
  • Beta-agonist