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EKG > EKG exam 1 images > Flashcards

EKG exam 1 images Flashcards

1
Q

Axis?

A

Left axis deviation

Lead I=Positive

aFV=Negative

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2
Q

Axis?

A

Extreme right axis deviation

Lead I=negative

aVF=negative

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3
Q

Pathologic Q-waves?

A

Yes. ≥1/3 height of R-wave

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4
Q

R wave progression?

A

Abnormal R wave progression in precordial V leads

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5
Q

T waves

A

T waves inverted in V2, V3, III

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6
Q

Rate? Regular or Irregular rhythm?

A

~85bpm. Basically regular (sinus arrhythmia).

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7
Q

Axis? QRS complexes (narrow vs. wide)? Intervals (PR interval, QT interval)?

A

Axis=Narrow

QRS-Complex=Normal

Intervals=Normal

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8
Q

P-waves? Q-waves? T-waves? Normal R-wave progression?

A

P waves are present, normal morphology, precedes
QRS complexes.

Normal R wave progression.

T-waves=Mostly upgoing, flat in lead III

Q-waves=Pathologic Q waves in lead III

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9
Q

PR-seg, ST-segment elevated, depressed or normal?

A

PR and ST segments are normal

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10
Q

Overall interpretation?

A

Normal Sinus Rhythm at a rate of 85bpm with pathologic Q waves and inverted T waves in lead III

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11
Q

Rate, rhythm (reg or irreg), axis?

A

~70bpm, Regular rhythm
Axis=left axis deviation (Lead I up, aVF down)

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12
Q

QRS complexes narrow or wide? PR-int and QT-int normal?

A

QRS=normal

PR and QT intervals normal

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13
Q

P-waves? Q-waves? T-waves? Normal R-wave progression?

A

P waves are present. They are wide and double humped. P waves precede QRS complexes.

QS waves in lead III & V2

T-waves=Mostly upgoing, slightly flattened in Lead III

Poor R wave progression

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14
Q

PR and ST segments? ( elevated, depressed or normal)

A

PR and ST segments are normal

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15
Q

Overall interpretation?

A

Normal sinus rhythm at a rate of 70bpm with left atrial enlargement, left axis deviation, and poor R wave progression

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16
Q

Rate? Rhythm (reg or irreg)? Axis?

A

Rate=~95bpm

Rhythm=Regular

Axis=Extreme right axis deviation

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17
Q

P-waves? Q-waves? T-waves? Normal R-wave progression?

A

P waves are present, tall in amplitude. P waves
precede QRS complexes

Pathologic Q waves in Lead III

T waves inverted in V2, V3, III
Abnormal R wave progression

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18
Q

PR and ST segments elevated, depressed, or normal

A

PR and ST segments are normal

19
Q

Overall interpretation?

A

Normal sinus rhythm at a rate of 95bpm with evidence of right ventricular hypertrophy and right atrial enlargement.

20
Q

Normal or abnormal P-wave? What does it mean?

A

R ATRIAL ENLARGEMENT

21
Q

Normal or abnormal P-wave? What does it mean?

A

LEFT ATRIAL ENLARGEMENT. Notched P-wave.

22
Q

Normal or abnormal P-wave? What does it mean?

A

Left atrial enlargement

23
Q

Normal or abnormal P-wave? What does it mean?

A

LEFT ATRIAL ENLARGEMENT

24
Q

What sort of enlargement?

A

BIATRIAL ENLARGEMENT

25
Q

Pathologic Q-waves due to MI where?

A

Inferior MI

26
Q

Which are pathologic Q, which is normal?

A

Pathologic=III and aVF

Normal=aVR

27
Q

Normal or not?

A

Narrow is normal! >0.1sec is considered a wide QRS complex.

28
Q

Normal or wide QRS-complex?

A

Wide!

29
Q

Normal or wide QRS-complex?

A

Wide!

30
Q

STEMI in which leads?

A

LEADS I, AVL, V2, V3, V4, V5

31
Q

STEMI in which leads?

A

LEADS II, III, AVF

32
Q

STEMI in which leads?

A

STEMI LEADS II, III, AVF

33
Q

What happening in arrowed leads?

A

ST depression (sign of cardiac ischemia)

34
Q

QT interval normal?

A

Normal

35
Q

QT interval normal or prolonged?

A

Prolonged

36
Q

What’s the rate?

A

300/6=50

37
Q
A

300/3=100ish

38
Q

Rate?

A

300/5=60

39
Q
A

300/3=100ish

40
Q

Rate?

A

300/5=60

41
Q
A

300/4=70ish

42
Q

Hypertrophy?

A

Right Ventricular Hypertrophy

Lead I=negative

aVF=positive

43
Q
A

EKG (7 decks)

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