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Cardiology > Kev Kards > Flashcards

Kev Kards Flashcards

1
Q

ECG change represents active myocardial injury:

A

ST-Segment Elevation

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2
Q

Which of the following ECG changes represents myocardial ischemia:

A

Hyperacute T-Waves

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3
Q

STE leads criteria) Lead I-III

A

≥ 1mm

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4
Q

STE leads criteria) Lead V1
Lead V2-3

A

Lead V1 ≥ 1mm
Lead V2-3}≥ 2mm M>40, 2.5mm M<40 1.5 all women

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5
Q

STE leads criteria) Lead V4-6

A

≥ 1mm

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6
Q

3 I’S of cardiac) ST Elevation:

A

Injury

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7
Q

STE leads criteria) Lead V4R
Lead V8-9

A

Lead V4R ≥ 1mm
Lead V8-9 ≥ 0.5mm

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8
Q

Left & Right BBB

A
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9
Q

STE leads criteria) Lead I-III

A

≥ 1mm

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10
Q

STE leads criteria) Lead aVR, aVL, aVF

A

≥ 1mm

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11
Q

STE leads criteria) Lead V4-6

A

≥ 1mm

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12
Q

STE leads criteria) Lead V4R
Lead V8-9

A

Lead V4R ≥ 1mm
Lead V8-9 ≥ 0.5mm

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13
Q

Leads V3 & V4 view
Leads V1 & V2 view
Leads 2,3, & aVF view
Leads 1, aVL, V5, V6 view

A

= Anterior
= Septal
= Inferior
= Lateral

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14
Q

Leads V3 and V4 look at what part of the heart?

A

L-Anteriorwall (LAD & LMCA blocks)

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15
Q

Systematic approach

A
  1. rate, 2. rhythm, 3. P waves, 4. PRI, 5. QRS
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16
Q

Leads V1 and V2 look at what part of the heart?

A

Septal (blockages from LAD commonly)

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17
Q

Leads 1, aVL, V5, V6 look at what part of heart:

A

L-Lateral (low view : views LCX & LAD)

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18
Q

Unipolar Limb Leads:
aVR:
aVL:
aVF:

A

= Augmented by the cardiac monitor
= Right Arm positive (inferior)
= Left Arm positive (lateral )
= Left Leg positive (inferior)

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19
Q

V8 & V9 STEMI criteria:

A

0.5mm or greater

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20
Q

Leads V1 and V2 look at what part of the heart?

A

Septal (blockages from LAD commonly)

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21
Q

Leads 1, aVL, V5, V6 look at what part of heart:

A

L-Lateral (low view : views LCX & LAD)

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22
Q

ECG Lead coronary arteries) Anterior

A

(LAD) Left Anterior Descending

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23
Q

Leads II, III and aVF look at what part of the heart?

A

Inferior wall (most common blockacke(RCA)

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24
Q

ECG Lead coronary arteries) Inferior

A

(RCA) Right Coronary Artery

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25
Q

A Lateral Wall high view:
B Left Lateral low view:
C Inferior wall view:
D Septal wall view:
E L-Anterior view:

A

A= Lead I & aVL= LA
B= Lead 1, aVL, V5 & V6: views LCX & LAD
C= 2,3,aVF: LL most common block(RCA) Lots of blockages/infarcs
D= V1 & V2: Along sternal borders blockages from LAD commonly
E= V3 & V4: left anterior wall : LAD & LMCA blocks

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26
Q

ECG Lead coronary arteries) Posterior

A

(RCA) Right Coronary Artery &/or (LCX)

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27
Q

3 I’S of cardiac) ST depression, Hyperacute or flipped T Wave:

A

Ischemia

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28
Q

3 I’S of cardiac) ST Elevation:

A

Injury

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29
Q

3 I’S of cardiac) Pathologic Q

A

Infarction

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30
Q

ECG Lead coronary arteries) Right

A

(RCA)

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31
Q

Coronary arteries) Lateral ECG leads to

A

(LCX) Left Circumflex

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32
Q

STE leads criteria) Lead V4R
Lead V8
Lead V9

A

V4R 1mm
V8&9 >0.5mm

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33
Q

Coronary) Right coronary artery (RCA) supplies:
Right Coronary arteries’ 2 major branches:

A

= part R-atrium & ventricle, upper part conduction system
= posterior descending artery & marginal artery

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34
Q

ECG Camera views) Right

A

Lead V4R

35
Q

ECG Camera views) Left Lateral

A

Lead I, aVL, V4, V5

36
Q

ECG Camera views) Septal

A

Lead V1 V2

37
Q

ECG Camera views) Anterior

A

Lead V3 V4

38
Q

ECG Camera views) Lateral

A

Lead V5 V6

39
Q

ECG Camera views) LMCA - 3 vessel disease

A

Lead aVR

40
Q

A blockage of which of the following would result in the entire left ventricle not receiving blood supply?

A

Left Main Coronary Artery (LMCA)

41
Q

Coronary) Right coronary artery (RCA) supplies:
Right Coronary arteries’ 2 major branches:

A

= part R-atrium & ventricle, upper part conduction system
= posterior descending artery & marginal artery

42
Q

Congitual:
Reciprocal changes:
Spodicks sign:

A

= same view leads
= mirrored effect in oppisute/corresponding leads for sure MI
= pericarditis PR slopes down aka STEMI imposter

43
Q

Leads 2, 3, aVF reciprocal leads

A

leads 1, aVL, V1-6

44
Q

Leads 1, aVL, V1-6 reciprocal leads

A

2, 3, aVF reciprocal leads

45
Q

Wellen’s wave type A:

A

Biphasic T waves in V2 or V3, min STE <1mm (V2 usually biggest shower
Highly specific for for a critical blockage of the LAD

46
Q

Wellen’s wave type B:

A

DEEP inverted T waves V2 or V3,

47
Q

De Winter’s T Waves:

A

V2 V3 most commonly but can happen any lead
ST depression at the J-point & upsloping ST-segments w/ tall, symmetrical T- waves in the precordial leads (LMCA or LAD occlusion)
“Hyper T w/ STD”

48
Q

Spodicks sign:

A

sloping down P wave into QRS (evidence of pericarditis)

49
Q

3 Is of cardiac) Ischemia:
“Infarct” Injury:
Infarction:

A

= Ischemia: ST depres/, Hyperacute T waves>5chest avf >10 precordial
= “Infarct” Injury: ST elevation 50%,
= Infarction: old MI; >25% Q or QRS >1SB

50
Q

RPM:
LAC:

A

RPM: Posterior & Marginal
LAC: anterior descending circumflex

51
Q

LBBB Definer Turn criteria

A

Down deflection before J point “turning left”

52
Q

Mirror Criteria

A

V1&2 leads (v2 most sensitive w/ R): ST depression w/ big R wave (accompany 15-20% inferior or lateral STEMI)

53
Q

L)

A
54
Q

L)

A
55
Q

L)

A
56
Q

L)

A
57
Q

L)

A
58
Q

L)

A
59
Q

L)

A
60
Q

L)

A
61
Q

L)

A
62
Q

Scgarbossa

A
63
Q

Scgarbossa

A
64
Q

Axis

A
65
Q

AHA ez

A
66
Q

Scgarbossa 3

A
67
Q

Scgarbossa 2

A
68
Q

Scgarbossa 1

A
69
Q

Axis normal

A
70
Q

Axis normal

A
71
Q

Axis pys L

A
72
Q

Axis pys L

A
73
Q

Axis Path L

A
74
Q

Axis QRSs) normal axis

A
75
Q

Axis QRSs) Pyscio Left

A
76
Q

Axis QRSs) Patho Left

A
77
Q

Axis QRSs) RIght axis

A
78
Q

Axis QRSs)Extreme right

A
79
Q

Axis QRSs) Lead 1 Up/+
lead 2 Up/+
lead 3 Up/+

A

Normal

80
Q

Axis QRSs) Lead 1 Up/+
lead 2 Up/+
lead 3 2 Down/-

A

physcio L

81
Q

Axis QRSs) Lead 1 Up/+
lead 2 2 Down/-
lead 3 2 Down/-

A

Patho Left

82
Q

Axis QRSs) Lead 1 2 Down/-
lead 2 Up/+ or Down -
lead 3 Up/+

A

RIght

83
Q

Axis QRSs) Lead 1 2 Down/-
lead 2 Down/-
lead 3 Up/+

A

Extreme Right

Cardiology (20 decks)

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