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Clin Med > Last minute EKG > Flashcards

Last minute EKG Flashcards

1
Q

P > 2.5 in any lead
or…
P in V1 is biphasic with larger initial portion

A

Right Atrial Hypertrophy

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2
Q

P wave in V2 is notched (> 1 box between peaks)
or….
P in V1 is bisphasic with larger terminal portion

A

Left Atrial Hypertrophy

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3
Q

Right Axis Deviation
plus…
QRS in V1 > 7

A

Right Ventricular Hypertrophy

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4
Q

R + S >45 in any precordial leads
R in V1 > 26
R in aVL > 12

A

Left Ventricular Hypertrophy

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5
Q

Right Atrial Hypertrophy

A

P > 2.5 in any lead
or…
P in V1 is biphasic with larger initial

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6
Q

Left Atrial Hypertrophy

A

P wave in V2 is notched (> 1 box between peaks)
or….
P in V1 is bisphasic with larger terminal portion

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7
Q

Right Ventricular Hypertrophy

A

Right Axis Deviation
plus…
QRS in V1 > 7

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8
Q

Left Ventricular Hypertrophy

A

R + S >45 in any precordial leads
R in V1 > 26
R in aVL > 12

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9
Q

Diffuse PR depressions (reciprocal elevation in avR)

A

Pericarditis

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10
Q

Notched j-point

A

Paricarditis

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11
Q

Low voltage

A

Percarditis

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12
Q

A really peaked T from the J-point

A

Hyperacute MI

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13
Q

AV Paced

A

A paced, V paced (dual all the time)

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14
Q

PV Paced

A

P sensed, V Paced

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15
Q

PR Paced

A

No intervention unless required

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16
Q

AR Pacing

A

Paces P wave only

17
Q

A funky looking P-wave every beat over 100 BPM

A

Multifocal Atrial Tachycardia

18
Q

A funky looking P-wave every beat under 100 BPM

A

Wandering Atrial Pacemaker

19
Q

Besides MAT, and WAP, what else is irregularly irregular?

A

Atrial Fibrillation

20
Q

Diffuse T wave inversions….think…

A

Ischemia (globally, hypoxia, etc)

21
Q

PR > .20

A

First degree block

22
Q

Progressively lengthening PR, then dropped QRS

A

Second Degree type 1 (Weckenbach)

23
Q

Normal PR interval, with multiple isolated P waves between complexes

A

Second Degree type 2

24
Q

What is the ventricular escape rate in 3rd degree block

A

30-45 bpm

25
Q

RIARHIO means

A

Rate, Interval, Axis, Rhythm, Hypertrophy, Infarct/Ischemia, Other

26
Q

how many boxes = 6 seconds on an ekg

A

30 boxes

27
Q

If P-waves arent upright in I and II, the rhythm is likely….

A

ectopic

28
Q

Osborne wave occurs in…

A

hypothermia

29
Q

U wave appears in

A

hypokalemia

Clin Med (14 decks)

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