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Cardiology Exam 1 > EKG Findings > Flashcards

EKG Findings Flashcards

1
Q

1st degree AV block

A

Long PR interval (>.2s)
No tx needed

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2
Q

2nd degree AV block Mobitz type I: Wenckebach

A

PR interval lengthens and then QRS complex drops
No tx needed

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3
Q

2nd degree AV block Mobitz type II

A

PR interval stays the same and QRS complex drops
NEEDS PPM

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4
Q

3rd degree AV block

A

P wave and QRS complexes are regular but don’t coincide
NEEDS PPM

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5
Q

Atrial Fibrillation

A

Irregularly irregular heart beat

No P waves, best seen in lead II, irregular
tx anticoagulants and keep HR >110

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6
Q

Multifocal atrial tachycardia

A

Different P waves morphologies seen in lead II, irregular
NO ANTICOAGULANTS

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7
Q

Atrial tachycardia

A

Inverted P waves in leads I, aVF; regular and fast

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8
Q

Atrial flutter

A

Sawtooth pattern

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9
Q

Junctional rhythm

A

No p waves, or RETROGRADE P waves, normal QRS complex
Mostly asx

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10
Q

Sick Sinus Rhythm

A

Tachy-brady syndrome AND sinus pauses
NEEDS PPM

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11
Q

PVCs and PACs

A

Premature P waves (inverted), normal to wide to no QRS complex that will reset on the next beat
Watch for AFib, benign, tx with beta-blockers or ablation

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12
Q

RBBB

A

Broad, deep, slurred S waves in leads I, aVL, V5-V6 with a normal R wave

Rabbit ears in leaves V1-V2

Generally benign

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13
Q

LBBB

A

NO Q WAVES

Broad R waves in leads I, V6 with QRS complex >.12s

Small R wave, broad S wave in lead V1

Generally benign

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14
Q

LAFB

A

LAD, qR in leads I, aVL and rS in leads II, III

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15
Q

LPFB

A

RAD, rS in lead I, qR in lead III

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16
Q

PSVT

A

Fast, narrow, reglar QRS complex
Tx IV adenosine and cardioversion

17
Q

WPW

A

Short PR, delta wave/slurred upstroke to QRS

Watch for AFib/VFib, tx beta-blockers or ablation

18
Q

Torsades de pointes

A

Polymorphic VT, twisting
Tx SHOCK, Mg and replace electrolytes

19
Q

VFib

A

Ventricles quiver

Tx SHOCK

20
Q

VTach

A

Wide QRS complex (>.12s),

Tx SHOCK

21
Q

Mitral stenosis

A

Opening snap, decrescendo low-pitched rumble diastolic murmur

30’s

22
Q

Mitral valve prolapse

A

High-pitched MID/LATE SYSTOLIC CLICK at apex with/without late-systolic murmur

Earlier standing/valsalva
Later squatting/laying/legs raised

23
Q

Mitral regugitation

A

Med/high-pitched apical, holosystolic, harsh murmur with radiation to axilla

24
Q

Aortic stenosis

A

Loud mid-systolic murmur at 2nd right intercostal space with radiation to both carotids

50-70s

25
Q

Aortic regurgitation

A

High-pitched blowing decrescendo murmur with patient leaning forward

26
Q

Aortic dissection tx

A

Tx with beta-blockers IV to decrease contractility and HR

27
Q

Pericarditis

A

No chest pain, better when leaning forward

Cardiology Exam 1 (1 decks)

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