EKGS cardiomyopathy and heart enlargement Flashcards

right atrial enlargement
RIGHT ATRIAL ENLARGEMENT (RAE)
– P – pulmonale peaked P wave with amplitude greater than .25 (2.5 mm) mv in leads II, III, AVF and greater than .1 mv in leads V1 & V2
– P wave has a slight rightward axis
II + V1

normal
II + VI

RAE
II + VI

LAE
II + VI

RAE (right) + LAE (left)
II + VI
II + VI

RIGHT ATRIAL Abnormality (overload) (RAE)
– P
– pulmonale peaked P wave with amplitude greater than .25 (2.5 mm) mv in leads II, III AVF and greater than .1 mv in leads V1 & V2
– P wave has a slight rightward axis

right atrial enlargement

RAE
p wave tall, pointed; taller in III than in I
RAE, pulmonale
p wave wide, notched; taller in I than in III
P – mitrale
– 2nd half of P wave negative in V1 or III
the most common intraventricular conduction defects.
Left Anterior Fascicular Block (LAFB‐KH)

- Left atrial enlargement (LAE)
- P‐mitrale “M” signs to P wave
- broad, notched P wave
- p wave duration .11 sec
- p wave amplitude of terminal negatively directed
- portion in V1 greater than .1 mV or 1 mm deep
- .04 sec wide with slight axis of P wave

LAFB

Bifascicular Block: RBBB + LAFB‐KH
left posterior hemiblock (LPH) criteria
Right axis deviation (RAD) usually ≥ + 120 degrees)
– Small R in leads I and AVL
– Small Q in leads II, III, AVF
–S1Q3 (SinIandQinIII)
– No evidence of RVH

posterior hemiblock

posterior hemiblock