ECGs Flashcards
What need to be seen on what leads to be normal axis?
Lead 1
AVF
Both positive
If Lead 1 is positive and AVF negative what is the axis?
What should be checked next?
Possible left devation
Check II- if negative implies pathological LAD -30–90
What is the normal heart axis?
-30 to 90
What is the axis deviation if Lead 1 is negative but AVF is positive?
RAD
What is the axis deviation if both 1 and AVF are negative?
Extreme LAD
What are causes of Left axis deviation?
LVH LBBB Inferior MI WPW Short squat patient
What are causes of R axis deviation?
RVH Lateral STEMI COPD K+ Ventricular ectopic PAEDS TALL ADULTS
When are p waves tall?
Pulmonary hypertension
Which lead should you look at for flutter?
V1 or II
How long should PR interval be?
3-5 small squares
How long should QRS be?
3-5 small squares
What are causes of long PR?
Heart block
What are causes of short PR?
WPW
Re entry circuits
What causes alternating high and low voltage ECG?
Pericarditis
What causes long QT?
Hypokalaemia Hypomag Hypocal Hypothermia MI ICP