Infarction Flashcards
Characteristic sign of ischemia is
Inverted t waves
Elevation of the ST segment denotes
Injury
The earliest consistent sign of acute infarction to read on EKG
ST elevation
Persistent ST segment elevation that does not return to baseline in all the chest leads is caused by
A ventricular aneurysm
Right bundle branch block with ST elevation in V1-V3 which can cause sudden cardiac death in individuals without heart disease
Brugada syndrome
Brugada syndrome is a familial condition caused by dysfunctional …
Cardiac sodium channels
Treatment for brugada syndrome involves
Implantable ICD
Elevates the entire T wave off the baseline
Pericarditis
ST segment depressed due to
Subendocardial infarction
Positive stress test
Digitalis
The Q wave indicates
Necrosis
Insignificant q waves are by definition
Less than one mm or .04 sec in duration
A significant Q wave is
At least one small square wide and 1/3 of the QRS amplitude
Q waves in leads V1-V4 indicate
Anterior infarction
In acute posterior infarction looking at leads V1, V2 you would see
A large R wave and ST depression
A lateral infarction is caused by an occlusion of the
Circumflex branch of the LCA
An anterior infarction is due to an occlusion if the
Anterior descending branch of the LCA
A posterior infarction is generally caused by an occlusion of the
Right coronary artery
Inferior infarction is caused by an occlusion of
Right or left coronary artery depending on which one is dominant
Hemiblocks are
Blocks of one of the two divisions or the left bundle branch
The AV node, bundle or His and a variable twig of the left bundle branch receive blood supply from the
Right coronary artery
Blood for the anterior branch of the left bundle branch and the right bundle branch is supplied by the
LAD
Anterior hemiblock
Caused by LAD occlusion effecting the anterior branch, normal or slightly widened QRS
Posterior hemiblock is
Usually associated with an MI, causes right axis deviation, have normal or slightly widened QRS, S1Q3
Often produces low voltage amplitude in all leads with right axis deviation
COPD