EKG Flashcards
Normal axis
0 to 90
Left axis deviation
0 to -90
Right axis deviation
90 to 180
Extreme right axis deviation
180 to -90
Left axis deviation is caused by
Inferior MI or LVH
Right axis deviation is caused by
RVH, Lateral MI
What pairs of leads make 90 degrees and can be used to determine axis?
I and AVF
III and AVL
If I is positive and aVF is neg then the axis is
left
If both I and aVF are positive then the axis is
normal
If I is neg and aVF is positive the axis is
Right
Tall or peaked t waves in II III and aVF
R atrial enlargment
Biphasic p in V1
L atrial enlargement
Criteria of q wave
> 1 small box and/or 1/3 of total QRS
Q wave indicates
Transmural infarct
Poor R wave progression indicates
Lateral MI
Very deeply negative V1 and very positive V6 indicates
LVH
T wave inversion causes (3):
Old MI
Pericarditis (chronic, diffusely)
Chronic myocardial disease
Peaked T waves indicate (2):
Hyperkalemia (diffusely)
First stages of MI (localized)
Flattened T waves indicate:
Hypokalemia