Ekg Flashcards

1
Q

Bradicardii fiziologice

A

Atleti mbetablocante

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

Simptome bradiaritmii

A

Fatigabilitate
Palpitatii(simte pauze)
Agravare alte boli(ic, ischemie)
Sincopa adam stokes

FAVORIZEAZA APARITIA TAHIARITMIILOR SI MOARTE ARITMICA(ca s pauze si mna centre ectopice)

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

Cauze nradiartitmii

A
Tonus vagal crescut
Congenital
Lev lenegre
Boala cardiaca ishchimica
Cardiomiopatii infiltrative
Onfectii
Hiperpotasemie, hipo si hipertiroidism
IAtrogen(bb, ndhp, antiaritmice, post ablatie)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Dg bradiaritmie

A

Avem unda p? E normal?

Exista relatie dintre p si qrs?

Care e morfo si durata qrs

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

Tulb sinoatrial

A

Sunt confuse sau nu impulsurile in mioc atrial
Bsa 1 nu se vede pe ekg

Bsa2 1. Wenckenback alungire: scade pp care precede p blocat
2 fara wenckenack pp egal
(In ambele e un impuls blocat)

BsA3
Greu de dif de oprirea sinusala

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

Dc e cate un p necondus

A

Nu stim
Fie nu s a format
Fie n a reusit sa iasa

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

Batai de scapare

A

La bsa3

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

Sick sinus synsdrome

A

Se pot asocia cu tahicardii supraventr
Sdr bradi tahi=> dupa tahi e mult mai bradi

O fibrilatie aparent fara cauza ar outea fi sss

Incompetenta cronotropa <25% din frecv la efort

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

Tratament tulb sinoatr

A

Indep cauza
Acut:atropina, stim temporara atriala
Cronic stimulare uni/bicamerala daca are si bav

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

Tulb av

A

Absenta intermitenta sau permanenta a conducerii
F imp: localizare(pt prognostic si atitudine fata de pacient)
Suprahisian: nav
Infrahosian: intraventr

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

Tulb av tipuri

A

1 incetinite, pr>220, maj suprahisian
Infrahisian conducerea e decrementala

2 1 alungit pr, scurtare rr, increment cel mai mare e primu=diferenta dintre slungiri!
2nealungit-deja aici incepe sa apara mai des infragisian=>probleme mai mari
Daca la scaderea frecv atriala blocul se agr
Daca scade blocul se amelioreaza
A zis cv de atropina-creste consucerea av, creste frecventa dar=>
Zona infrahisiana bombardata, se incarca cu calciu conduc mai greu, conduxe si se mai incarca, pana nu mai conduce!
Bloc 2 2 la 1 e oricare

3 disociatie av, ritm scapare, NU E SINGURA SITUATIE IN CARE APARE AV

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

Ce e disociatia av

A

Activitate atriala indep de cea ventr

Cum arapare la tv si bav 3

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

Cu cat e blocul mai jos

A

Cu atat centrul de scapare e mai jos
Deci mai lent
Simptome
Tahiaritmii

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

Tratament tulb av

A

Acut pacemaker sau atropina(doar cand sunt sigura ca e suprahisian)

Cronic stimulator

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

Brd

A

Congenital, boli pulm, tep, hvd,

Ekg: RR’, rSr’ in V1
Depolarizarea initial ok
qRS in v6

Complet=>120ms
Opozitie de faza!!!

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

Brs

A

Substrat cardiac! Ischemie infilrtatie cmd

Ekg: nu are r in V1
Nu are Q in d1, avl, v5,v6
Are RR’ in v6

Neap cica sa n aba q
Q=dep septala dispre st spre dr

Img in oglinda si rep faza

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

In mod normal R

A

Creste de la v1-v6

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

In mid normal s

A

Scade de la v1-v6

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Hbsa

A

Ax -45–90
qR d1, avl, v5,v6 deriv stangi
rS d2,d3,avF
Cadran superior stang?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Hbpi

A

Ax la dr 90-190
rS d1 avl
qR d2,d3,avl

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Blocuri intravent

A

Nu prea tratez
Nu prea da simp
Poate da asincronism tho
E un semn de atentionare

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Cand dau pacing

A

Am stab gradul de reversibilitate
Exista simptome
Grad bloc si risc de progresie

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Ekg deg

A

Inregistrarea Ctivitatii electrice a mioc atrial si ventr si repolarizarea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Triunghi einthoven

A

1+2+3=0

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Wilson ce a inventat

A

Centrul electric al inimii

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Deriv precordiale dau info despre

A

Planul orizontal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Teoria dipolului

A

Dif de potential intre celule

Daca ar fi toate dep ar vedea 0

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Ischemie fiziologica

A

Dc p si t au ac polaritate
Depolarizare: subendocard=>subepicard
Repolarizare: subepicard=>subendocard(mai lent)
Faza de rep consuma energie

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Teoria sumei potentialeleor

A

Subendocard+subepicard
Ca si cum subendocard e poz si subepi e neg
Subeoucard dureaza mai putin pa

30
Q

Ekg culori

A

Rosu dr
Galben st
nergu pic dr
Verde pic st

31
Q

Deriv inferioare pozitii

A

V7 linie acilara post
V8 vf scapulei
V9 linie paraspinala stanga

32
Q

Unda p

A
Rotunjita sau bifazica
Neg in avR
<2,5 mm amp 2casute jum
<0.12s 2casute jum
Ritm sinusal=pleaca din zona aia
Ritm sinusal normal: durata frecv morfo normala(la bloc nu i norm)
Posterosup ad

P neg=se departeaza=>ritm atrial inferior

33
Q

Interval pr

A

0.12-0.21
Variaza cu frecv
Variaza cu varsta

Include p si se term inInte de qrs

Pr scurt=preexcitatie
Pr lung=bloc av

34
Q

Qrs

A

<0,09
Q sub 1 casuta in amplitudine si durata
R <25 v5,v6 <20 d1 <15 avl
Variaza cu varsta

35
Q

Dep ventriculara cum se face

A
Vector
Incepe in sept de la st =>dr
Din ramura stanga avem ramura septala care face ca septul sa se dep rpd
Apex
Dep e mai mult dp de vs
36
Q

Deflexiune intrinsecoida

A

Port initiala a dep ventr
Incept qrs pana la vf r

<0,03 v1,2
<0,05 in v5,6

37
Q

Frecventa cardiaca

A

1500: rr in mm

Qrs in 6 sec x10(deci 30 case mari)

38
Q

Ax ce folosesc

A

D1 si avf

39
Q

Segment st

A

Ptc j pana dupa t
Deviatiile st se apreciaza la j+60ms(1casut jum)

Sta convex(ima)/concav
Barbatii pot avea supra pana al 3 mm
Femeie subdeniv

40
Q

Care e linia izoel

A

Tp!!!!!

Uemori la tahiaritmii te uiti la pq

41
Q

Unda t

A

Past ascendenta lenta

Poz in toate mai putin avr

42
Q

Undau

A

Rep intarziata

UNDA U NEG IN PRECORDIALE E PATOLOGICA!!!!!!!
Hipopotasemie are u f ampla

43
Q

Interval qt

A

Activitate el ventr
Qrs pana la final t

Bariaza cu frecv varsta cuclu circadian

Bazett qt corectat=qt/ radical rr

Fruderica qtc=qt/rr la 1/3
Framingahm qtc=qt+154x(1-rr)

<440 barbati
<450 femei

> 500 RISC DE TORSADA

44
Q

Ce infl ekg

A
Varsta
Sex
Rasa
Antrenament fiz
Constitutie
Pozitie inima
45
Q

La negru modif elg

A

St in dom

46
Q

P mitral

A

Nu prea hipetrofiaza
Dar se mareste
Animalie atriala st/incarcare atr stanga

Morfologia e doar pt p sinusal

47
Q

P pulm

A

Amplitudine

In general la cei cu boli pulm

48
Q

Dilatare biatriala

A

Had si has

Boli de inima si plm

49
Q

Unea p negativa d1

A

Electrozi gresiti sau ffffff ritm artial inf dar nu izolat

50
Q

Hvs

A

Predictor indep de mortalitate precoce
=>aritmii sau ic

Posibil sa tratam cu ieca

Criterii sunt pt >45 ani

Ravl>11
Sv1+rv2>35
Ravf>20

Exista cornel care iau in cons si timpul gen daca are emfizam
Cam 110

51
Q

Romhilt estes

A
S sar r la membre>20
S v1/v2>30
Rv5/v6>30
St cu sau fara digitala
Ax stanha
Defl intrinces >50
Pwrte neg din p in v1>4msec
52
Q

Hvd

A

Mai mult din boli congenitLe(st pulm, eisenmenger, st mitral cord pulm)
Htp

Cu tulb de conducere sau fara
Subdeniv st si t inv in v1-3 ajuta dg

Fara tulb: r amplu in v1

Cu tulb: rsr’ in v1, r’>12 t neg v1

53
Q

Ce poate insemna q dar nu larg

A

Hipertrofie sept

54
Q

R amputat v1-v2

A

Sechela de infarct
Cmd
Emfizem

55
Q

Pa la celule nodale

A

Faza 0 calciu( lent)

Faza 2 si 3 k si na/ca

Faza 4 ca, k, ifunny

56
Q

Le testul de stres trb

A

Subdeniv 1mm rectiliniu sau oblic

La stemi >1mm supradeniv mai putin in v2,3(>2barbat 40, 2,5 barbat sub 40, 1,5 gagici)/ subdeniv v1-3 si supra >0,5 v7-v9/ brs nou aparut concordant cu qrs>1mm
Ocluzie multipla: st subdeniv in 8 deriv >1mm si avr si v1 supradeniv

La nonstemi subdeniv >0,5 mm (O CASA)

57
Q

Inteleg ca dovada de ischemie e

A

St

Clinca

58
Q

Comppex pardee

A

Unda in dom

Im acut cu mare risc

59
Q

Progresie lenta unda r

A

Pot sa o descriu ca gen e si din emfizem bpoc cmd

Sau inafrct

60
Q

Tamponada

A

Hipovoltaj
Tahicardie sinusala
Alternanta qrs

Cica pericardocenteza in acut

61
Q

Brd la stemi

A

Semn ca ocluzia e procimala si trb sa ma grabesc ca moare

62
Q

Imagine inghetata

A

Anevrism sau zona akinetica mare
Sau prezenta de tromb intraanevrism

St supradenivelat cu unda t aplatizata si e ca un infarct vechi

63
Q

Sdr wellance

A

Obstr severa pe desc anterioara
T bifazic asa in precordiale

Vine pac cu durere in piept dar fara caract de angina pe ekg si dupa ce i trece durerea se modifica ekg

64
Q

Pericardita ekh

A

Pr scazut

Supradeniv st

65
Q

Hipotermie

A

Unda osborne

66
Q

Clinic prolaps mitrala

A

Click sistolic

Suflu telesistolic

67
Q

Fizpat reg aorta

A

CRESTE DEBITUL
SE DILATA SI HIPERTROFIAZA VS EXCENTRIC DEVINE CORD BOVIN

Mor a zis asa
Pres puls crescuta
Tas crescuta
Tad scazuta ptc vine inapoi sangele
Diferente ffff mari intre ele

Diastola ii face rau ca mna creste volumul blabla deci ca adaptare se tahicardizeaxa

68
Q

Criterii severitate reg aorta

A

Durata diastola
Gradient pres av vs in diastola
Marime orificiu
Rvp

69
Q

Reg aortica cronica

Se domoenseaza rpd?

A

Nu
Decompensarea e tardiva
E bine suportat asa
D aia de si face cord bovin

70
Q

Clinic ref aorta

A
Pulsatii quinke
Hta cu pp cressvut
Cardiomegalie
Suflu diastolic-in ia acuta durata e scurta ptc vs nu i compliant(SE AUDE GREU MAI ALES PARASTERNAL STANG SI PUN PAC SA SI DUCA MAINILE DEASUPRA CAPULUI CA SA MA AHUT)
Suflu sistolic daca debitul e crescut
Z2 diminuat

SUFLU AUSTIN FLINT=mid diastolic in focar mitral

71
Q

Doppler reg aortica

A

Jet regurgitrare

Vena contracta