Exam 1, lecture slides Unrein Flashcards
What lead do you look for atrial hypertrophy and what does it look like
V1
diphasic p wave, if first part is larger than R hypertrophy
or single p wave bigger than 2.5mm
what leads can also suggest R atrial hypertrophy
II III aVF p waves greater than 2.5 mm height
What are signs of left ventricular hypertrophy
> 35 mm after adding V1 and V5 together
LAD sometimes
what does strain pattern look like on EKG
elevated ST
what does R ventricular hypertrophy look like
High R wave in V1-V4 that gets progressively smaller
What can a widened QRS complex signify?
BBB
which BBB can you NOT Dx a acute MI with
LBB
Which BBB can have an anterior or posterior fascicle and how do you know
LBBB
anterior is with LAD
posterior with RAD
what do symmetrically inverted T waves mean
ischemia
ST depression from ischemia occurs with what scenarios
subendocardial infarction, angina, stress tests
Acute ST segment elevation could mean what
transmural infarction
What are signs of myocardial necrosis
Q waves, deeper than 1/3 QRS depth. >0.04 Q width
What are signs of an inferior MI
elevated ST in II III and aVF
what are signs of an anterior MI
V1-V4
what are signs of a lateral MI
I, aVL, V5-6
what are signs of posterior MI
V1, V2 has a tall R wave and ST depression