Graphics Practice Flashcards
What is this?
Sinus brady
Low Voltages
Inferior MI
Dx: Hypothyroidism
What is this?
-Sinus Rhythm going into Atrial Fibrillation
-Early R/S Transition
What is this?
-Afib -> Junctional escape at end of strip
-Inferoposterior MI with Lateral Involvement
-RAD
What is this?
-NSR
-Inferoposterior Infarct (old)
-Long Qt
-Poor R wave progression
What is this?
-Idioventricular Rhythm
-Hyper Kalemia
What is this?
-NSR
-LBBB
-LAD
-Lateral STEMI (Concordant ST elevation)
What is this?
-NSR with one PAC
-LAD
-Lateral STEMI
-Poor R wave progression (?Old Anterior Infarct)
What is this?
-NSR with Mobitz 1 Sinoatrial Block (not PACs as P wave morphology is not different than preceding)
What is this?
Mobitz 2 SA Block with resumption of a Junctional Escape
What is the rhythm?
Atrial fibrillation -> Sinus -> Block PAC -> Atrial fibrillation
What is happening here?
Sinus -> 2:1 SA block with first degree AV block
What is this?
ARVC
What is this?
NSVT
What is this?
NSR with 2:1 block with Ventricular escape
When there is blocked P waves, there is a ventricular escape complex
What is this (be specific) ?
Peri-membranous VSD
What is this? (Be specific)
Perimembranous VSD
What is this? Be Specific
Muscular VSD
What is this? (Be specific)
Inlet VSD
What kind of VSD is this?
Perimembranous
What is this? Be specific
Perimembranous VSD
What is this?
Perimembranous VSD
What specific kind of VSD is this?
Gerbode Defect
What is this?
Subarterial VSD
What is this?
Inlet VSD
What is this?
Muscular VSD
What is this?
Muscular VSD
What is this?
Muscular VSD
What is this?
PDA
What is this?
PDA
What is this?
PDA
What is this?
PDA
What is this?
PDA
What is this?
BAV (NCC-LCC fusion)
What is this?
BAV (RCC-NCC fusion)
What is this?
BAV (RCC-LCC fusion)
What is this?
Aortic Coarctation
What is this?
Aortic Coarctation
What is this?
Aortic Coarctation
What is this?
Aortic Coarctation
What is this?
Sinus rhythm with Atrial Bigeminy where PACs are blocked
What is this?
Accelerated Idioventricular Rhythm
-Note AV dissociation
-ST Elevation in anterolateral leads
What is this?
Accelerated Idioventricular Rhythm
-Note AV dissociation
-ST Elevation in anterolateral leads
What is this?
Artifact- Note QRS complexes marching through
What is this? In particular comment on the conduction delay
Sinus rhythm with RBBB and LAFB
What is this?
Sinus Bradycardia with competing Junctional Rhythm resulting in AV dissociation
-RBBB with LAFB
What is this? give 2 ddx
-Pulsus Bisferiens
-HoCM, Mixed Aortic Valve disease
What is this? Give 4 ddx
-Dicrotic pulse
-Cardiogenic shock, hypovolemia, Tamponade, Obstructive shock
What is this?
Atrial Tachycardia with rate related aberrancy
What is this?
Intermittent undersensing and physiologic failure to capture
What is this?
Sinus rhythm with intermittent ventricular pacing. Intermittent undersensing and physiologic failure to capture
What is this?
Tricuspid Stenosis
What is this?
Type 2 SA block
Calculate the ERO
ERO = PISA / VMax
ERO = ((2)(Pi)(r)^2 x Aliasing Velocity)) / Vmax
ERO = ((2)(3.145)(1.8)^2 x (30)) / (514.6 cm/s)
ERO = (611.3) / 514.6
ERO = 1.18 cm2
What is this?
VT (5th beat is fusion beat, + in AVR, questionable AV dissociation)
What is this?
Aortic Coarctation
What is this?
Pulsus alternans (CMO, shock)
Diagnosis?
Long Qt (Looks like type 2)
Diagnosis?
Dextrocardia
What is this?
Atrial Flutter with 2:1 block, RBBB and lateral STEMI with old inferior infarct
What is this?
Sinus Tachycardia with RBBB and LAFB and Anterior STEMI (questionable STE V1-V2, as per GW)
What are three underlying diagnoses?
-Ebstein’s Anomaly
-Pulmonary Hypertension
-Secundum ASD
What is the diagnosis?
STEMI with CHB (RCA vasospasm as per GW)
What arrhyhtmia is this?
AVNRT (Pseudo R waves in V1)
What are 3 ddx for this Long RP tachycardia?
-Low ectopic atrial tachycardia
-PRJT
-Fast-Slow AVNRT (This is what this ECG is)
What are 3 ddx for this Long RP (subtype RP > PR) tachycardia?
-Low ectopic atrial tachycardia
-PRJT
-Fast-Slow AVNRT (This is what this ECG is)
Give 2 DDx for this short RP tachycardia?
-Typical AVNRT (Slow-Fast)
-Orthodromic AVRT
What is the Vereckei algorithm?
Looks at QRS complex in aVR to distinguish between SVT and VT
-Initial R wave in AVR
-R or Q wave > 40msec
-presence of notch on the descending limb at the onset of a predominantly negative QRS
What is this?
LA-LL reversal (upright in aVL (aVF), Inverted in III and aVL))
What is this?
RA/RL reversal -> Isoelectric II, Inverted I and AVR
What is this?
Sinus with LBBB with intermittent AIVR
What is this?
NSR with RA-LA reversal and a PVC, probably Inferior STEMI
What is this?
Afib with RVR, RBBB, LAD
What is this?
Atrial tachycardia with 2:1 block (could be AFlutter but is a bit quick) Intermittent aberrantly conducted beats
What is this?
Sinus tachycardia with diffuse ischemia (?coronary vasospasm)
What will happen to ESPVR with increasing contractility/Inotropes?
Slope will increase
(It will decrease with less contractility/HF)
How will changes in preload and afterload affect ESPVR/EDPVR?
No change in slope
Label the following
A: Negative Inotropic state
B: Increased Inotropic state
C: Positive Inotropy and Leusotropy
D: Increased Afterload
E: Decreased Afterload
F: Increased Preload
What is this?
Atrial fibrillation with RBBB
What is this?
AFib with BiV pacing (Wide QRS though)
Intermittent premature ventricular complexes or aberrantly conducted Afib
What is going on here?
HoCM with Valsalva response
What is being shown here?
Tamponade:
-RAP: Blunted Y descent
-Elevation in RVEDP
-RAP = RVEDP = PADP = LCWP
Review prosthetic valve location on CXR
