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Step 2 > EKGs > Flashcards

EKGs Flashcards

1
Q

LV strain pattern

A

inverted T and ST depression in V5, V6, I & II due to delayed repolarization

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2
Q

R atrial enlargement finding

A

P wave height over 2.5mm in I,II or aVF

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3
Q

L atrial enlargement finding

A

P wave width over 0.12sec in II or ant leads negative P wave in V1 notched (biphasic) P wave

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4
Q

Wellens Syndrome on EKG

A

T wave inversion in V2 and V3 Due to LAD stenosis

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5
Q

Brugada Syndrome on EKG

A

RBBB pattern with ST elevation in V1-V3 due to Na+ channel abnormality increased sudden cardiac death risk accentuated with fever or antiarrhythmics

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6
Q

Causes of ST depression (3)

A

subendocardial infarction positive stress test digitalis

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7
Q

Signs of prior MI on EKG

A

poor Q wave progression Q wave over 0.4sec (one square) wide inverted T waves

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8
Q

Long QT Syndrome

A

QT over 1/2 cardiac cycle increased Ventricular arrhythmias

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9
Q

EKG findings with COPD

A

low voltages R axis deviation multifocal atrial tachycardia

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10
Q

EKG findings with PE

A

large S wave in I ST depression in II long Q wave in II with T wave inversion

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11
Q

EKG findings with hyperkalemia

A

no P wave wide QRS peaked T wave

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12
Q

EKG findings with hypokalemia

A

flat T wave U wave

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13
Q

EKG findings with hypercalcemia

A

shortened QT

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14
Q

EKG findings with hypocalcemia

A

prolonged QT

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15
Q

Digitalis effect on EKG

A

ST depression with a rounded appearance

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16
Q

Signs of digitalis toxicity

A

premature atrial beats (early sign) PVCs/ventricular bigeminy worsened with hypokalemia

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17
Q

Quinidine toxicity effects on EKG

A

wide P wave wide QRS ST depression and prolonged QT U waves

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18
Q

Brain insult/stroke on EKG

A

diffuse inverted T waves prolonged QT

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19
Q

Chapman’s sign on EKG

A

for dx of MI with LBBB notched upslope of R wave in I, aVL or V6

20
Q

HCOM on EKG

A

large septal Q wave in lat and inf leads LVH usually present

21
Q

Ventricular aneurysm on EKG

A

ST elevation 6 wks after MI can mimic acute MI ST elevation described as “coving”

22
Q
A

Wolf Parkinson White Syndrome

23
Q
A

Wellens Syndrome

24
Q
A

Hypercalcemia

25
Q
A

Severe Hyperkalemia

26
Q
A

Right Bundle Branch Block

27
Q
A

Right Atrial Enlargement

28
Q
A

Hypocalcemia

29
Q
A

Pulmonary Embolism

30
Q
A

Anterior MI

Poor R wave progression

31
Q
A

Prior MI

32
Q
A

Pericarditis

33
Q
A
34
Q
A
35
Q
A

LV strain

36
Q
A

Left Ventricular Hypertrophy

37
Q
A

Left Bundle Branch Block

38
Q
A

Left Atrial Enlargement

39
Q
A
40
Q
A

Hyperkalemia

41
Q
A

Hypertrophic Cardiomyopathy

42
Q
A

Early Repolarization

43
Q
A
44
Q
A
45
Q
A

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