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Cardiovascular II Exam One > EKG's interpretation only > Flashcards

EKG's interpretation only Flashcards

1
Q

What is the axis?

A

0

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2
Q

Rhythm?

A
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3
Q
A
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4
Q

Rhythm?

A

Atrial Bigeminy

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5
Q

Rhythm?

A

Inferior Wall MI

note the “firehat” sign in II, III and aVF

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6
Q

Rhythm?

A

Left ventricular hypertrophy with strain pattern

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7
Q

Rhythm?

A

Prolonged QT syndrome

(hypomagnesemia)

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8
Q

Rhythm?

A

Wolf-Parkinson-White (WPW)

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9
Q

Rhythm?

A

Second degree AV block

Mobitz type II

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10
Q

What is wrong here?

A

Hypothermia

Note

•Severe sinus Bradycardia
•Prolonged PR interval
•Widened QRS complex
•Prolonged QT interval
•Osborn wave
–Extra deflection at the end of the QRS complex

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11
Q

Rhythm?

A

WPW

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12
Q

Rhythm?

A

Third degree AV block

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13
Q

Diagnose!

A

Anterolateral Wall MI

Note ST elevation in I, aVL, V5 and V6

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14
Q

What do you see here?

A

Atrial Paced rhythm

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15
Q

Rhythm?

A

Mobitz Type II

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16
Q

What do you see here?

A

Wandering Pacemaker

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17
Q

What is the problem here?

A

Hyperkalemia

Note

  • flattened/widened P waves
  • Widened QRS complexes
  • Peaked T waves
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18
Q

Rhythm?

A

Right bundle branch block

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19
Q

What’s indicated here… I guess not all these are rhythms, just got carried away on repeat

A

Inferior Wall MI

note the ST elevation in II, III and aVF again

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20
Q

What are these findings indicative of?

A

Left atrial hypertrophy

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21
Q

What is going on here?

A

Dextrocardia

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22
Q

Rhythm?

A

Junctional

23
Q

Rhythm?

A

Right atrial hypertrophy

Tall biphasic P waves that are mostly positive (see in V1 especially)

24
Q

Rhythm?

A

Atrial Fibrillation

25
Q

Rhythm?

A

First degree AV block

26
Q

Rhythm?

A

Wenckebach (type I second degree heart block)

27
Q

Axis?

A

-90

28
Q

Rhythm?

A

Left bundle branch block

29
Q

Rhythm?

A

Left atrial Hypertrophy

P waves are biphasic and primarily negative

30
Q

Rhythm?

A

Torsades de Points

31
Q

Rhythm?

A

Prolonged QT syndrome

32
Q

What is the axis?

A

-60

33
Q

What is wrong here?

A

Hypocalcemia

Note

  • Prolonged QT interval
  • Flattened T waves
34
Q

Axis?

A

+100

35
Q

What is the axis?

A

+30

36
Q

Rhythm?

A

Right ventricular hypertrophy with strain pattern

37
Q

Rhythm?

A

Anterior Ischemia

Note the depressed ST segments in V3, V4

38
Q

Rhythm?

A

Atrial Flutter

39
Q

Rhythm?

A

Anterior Ischemia

40
Q

What is shown in this strip?

A

Pericardial Effusion

“electrical alternans” Due to heart moving in the sac you get variable electrical signaling

41
Q

Rate and Rhythm?

A

~75 bpm

Normal Sinus rythym

42
Q

What’s going on here?

A

Hypothermia

43
Q

What is the problem here?

A

Hypokalemia

Note

  • Flattened T waves
  • Prominent U waves
44
Q

Rhythm?

A

Junctional Tachycardia

45
Q

Rhythm?

A

Ventricular Bigeminy

46
Q

Rhythm?

A

Left ventricular hypertrophy with strain pattern

In addition to V1 S and V5 R greater than 35mm you also have depressed and humped ST segment, and you will see asymmetric T waves

47
Q

Rhythm?

A

Ventricular Tachycardia

48
Q

What is shown here?

A

Pericarditis

•ST segment elevation that is flattened with T wave elevated off the baseline
•Usually present in all leads
•Convincing evidence of PR segment depression

49
Q

Rhythym?

A

Right bundle branch block

50
Q

Rhythm?

A

Wenckebach

51
Q

Name that problem!

A

Hypercalcemia

Note

  • Shortened QT interval
  • Widened T wave
52
Q

What do you see here?

A

Ventricular paced rhythm

note the sharp spikes in the P waves

53
Q

Rhythm?

A

Left Ventricular hypertrophy

Abnormally large S wave in V1

Abnormally large R wave in V5

V1 S wave plus V5 R wave > 35 mm is left ventricular hypertrophy

54
Q

Rhythm?

A

Ventricular Fibrillation

Cardiovascular II Exam One (4 decks)

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