ECGs Flashcards

(70 cards)

1
Q

how many wires are there to give a 12 lead ECG

where are they

A

10

3 limb leads (RA, LA, LL)
1 earthed wire
6 chest wires - V1-V6

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2
Q

what wires contribute to lead I

A

RA-LA

I = 1 L

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3
Q

what wires contribute to lead II

A

RA-LL

II = 2 L

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4
Q

what wires contribute to lead III

A

LA-LL

III = 3 L

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5
Q

where is the earthed wire

A

right leg

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6
Q

what wire does aVR come from

A

RA

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7
Q

what wire does aVL come from

A

LA

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8
Q

what wire does aVF come from

A

LL

F = foot

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9
Q

where is V1 on the chest

A

R sternal edge 4th intercostal space

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10
Q

where is V2 on the chest

A

L sternal edge 4th intercostal space

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11
Q

where is V3 on the chest

A

between V2 and V4

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12
Q

where is V4 on the chest

A

5th intercostal space, midclavicular line (apex beat)

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13
Q

where is V5 on the chest

A

anterior axillary line, same level as V4

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14
Q

where is V6 on the chest

A

mid axillary line, same level as V4 and V5

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15
Q

sinus arrythmia aetiology

sinus bc P wave followed by QRS

A

normal person with caffeine overdose/drugs etc

common in children

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16
Q

which lead is at the bottom of the ECG for you to read (figure out rate etc)

A

lead II

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17
Q

how long is one big square on ECG

A

0.2 seconds

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18
Q

how many small squares are in a big square on ECG

A

5

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19
Q

how long is one little square on ECG

A

0.04 seconds (0.2/5)

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20
Q

how to figure our rate if regular rhythm

A

300/number of large squares between QRSs

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21
Q

how to figure out rate if irregular rhythm

A

number of QRS in 30 boxes x10

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22
Q

what area of the heart does lead I represent

A

lateral

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23
Q

what area of the heart does lead II represent

A

inferior

bc connected to foot (LL) = inferior

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24
Q

what area of the heart does lead III represent

A

inferior

bc connected to foot (LL) = inferior

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25
what area of the heart does lead aVL represent
lateral bc most to left
26
what area of the heart does lead aVF represent
inferior bc F = foot = inferior
27
what area of the heart does lead V5 represent
lateral bc most to left
28
what area of the heart does lead V6 represent
lateral bc most to left
29
normally, which lead is inverted
aVR
30
what does P represent
atrial depolarisation
31
what does QRS represent
ventricular depolarisation (and atrial repolarisation)
32
what does T represent
ventricular repolarisation
33
what does PR interval represent
AV node delay
34
normal length of P wave
<0.12secs (3 small boxes)
35
normal length of QRS
0.04-0.12secs (1-3 small boxes)
36
normal length of PR interval
0.12-0.2secs (3-5 small boxes)
37
steps to reading ECG (14)
``` patient details date and time of ECG calibration of ECG paper axis - normal? activity present? rhythm regular/irregular rate P waves present PR interval QRS after each P wave QRS duration delta waves ST elevation T waves - tall? ```
38
tall T waves
hyperkalaemia
39
ST elevation
STEMI
40
wide QRS
ventricular problem eg ventricular tachycardia
41
absent P waves
atrial problem eg atrial flutter, atrial fibrillation
42
sawtooth baseline
atrial flutter
43
treatment of ventricular tachycardia
defib them
44
P waves regular QRS regular P waves not followed by QRS (no correlation between the 2)
third degree heart block
45
inferior MI lead changes
II, III, aVF
46
anterior MI lead changes
V1-V6
47
which artery is occluded in inferior MI
right coronary artery
48
anterolateral MI lead changes
I, aVL, V1-V6
49
which artery is occluded in anterior MI
left anterior descending
50
posterior MI lead changes
V1-V3 | ST depression!
51
lateral MI lead changes
V5-V6, I, aVL
52
high lateral MI changes
I, aVL not V5-V6 bc theyre lower
53
treatment of STEMI
primary PCI ASAP (<90mins) | thrombolysis >90mins
54
prolonged PR
AV block | a type of heart block - need to figure which one
55
which leads do you look at for axis deviation
I and aVF
56
what is the axis deviation if; I QRS positive aVF QRS positive
no axis deviation
57
what is the axis deviation if; I QRS negative aVF QRS positive
right axis deviation
58
what is the axis deviation if; I QRS positive aVF QRS negative
left axis deviation more common than right
59
which artery is occluded in lateral MI
circumflex
60
hr of sinus rhythm
60-100
61
hr of sinus bradycardia
<60
62
hr of sinus tachycardia
>100
63
ECG of sinus node block
missed P wave and QRS (together)
64
how does supraventricular tachycardia differ from ventricular tachycardia
narrow QRS complex in supraventricular tachycardia | broad QRS complex in ventricular tachycardia
65
loss of P waves chaotic rhythm QRS complexes present
atrial fibrillation
66
prolonged PR interval
first degree heart block
67
increasing PR interval until a QRS is dropped
second degree heart block type 1
68
normal P waves but dropped QRS complex
second degree heart block type 2
69
hr >100 | broad QRS
ventricular tachycardia
70
chaotic rhythm with no QRS = no heart rate detectable
ventricular fibrillation