EKG III / IV Flashcards

1
Q

P wave inversions can be normal in what leads

A

aVR and V1

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2
Q

sinus arrhythmia can be normal in what population

A

young and healthy

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3
Q

describe the rate, rhythm, and P waves in sinus arrest

A
  • rate: changing
  • rhythm: irregular
  • P waves: one for every QRS, has >2second pause
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4
Q

how is a PAC identified

A
  • EARLY P wave
  • abnormal P wave (differs in shape from sinus P wave)
  • QRS complex is normal and narrow
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5
Q

if every other beat is a PAC, this is known as _____

A

bigeminy

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6
Q

if every third beat is a PAC, this is known as _____

A

trigeminy

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7
Q

PACs in paired beats is known as a ____

A

couplet

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8
Q

describe the rate, rhythm, and P waves in multifocal atrial tachycardia

A
  • rate: >100 bpm
  • rhythm: irregularly irregular
  • P waves vary
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9
Q

what are the characteristics of SVT

A
  • rate: 16-250 bpm
  • rhythm: regular
  • P: difficult to distinguish from T waves
  • QRS: NARROW
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10
Q

what are the characteristics of atrial flutter

A
  • rate: ~300 bpm
  • rhythm: regular
  • QRS: normal
  • NO visible PR int, T waves, ST segments
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11
Q

“saw tooth” pattern is seen in _____

A

atrial flutter

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12
Q

acute A-fib lasts _____

A

< 48 hours

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13
Q

chronic A-fib lasts ____

A

at least 1 month

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14
Q

what are the characteristics of A-fib

A
  • rhythm: irregularly irregular
  • P: NO discernable Pw
  • chaotic isoelectric line
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15
Q

what is controlled, rapid, and slow Af-b

A
  • controlled: 70-110 bpm
  • rapid: > 120-130 bpm
  • slow: < 60 bpm
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16
Q

a junctional rhythm occurs when the electrical activation of the heart occurs in the ____

A

AV node

17
Q

what are the characteristics of junctional rhythms?

A
  • rate: 40-60, accelerated 60-100, tachy >100
  • rhythm: regular
  • P: retroverted, missing, or late
  • QRS: narrow
18
Q

in a premature junctional contract, the P wave will be ____

A

inverted

19
Q

which is more common PAC or PVC

A

PVC

20
Q

what are the characteristics of a PVC

A
  • Widened QRS

- T wave in opposite direction of QRS