Myocardial infarction Flashcards

1
Q

what is the J point elevation?

A

A flatter ST segment, usually seen in a large group of leads with no reciprocal changes
an elevation of the T wave, but is NOT bigger than the QRS

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2
Q

what is the evolution of an MI

A
  1. giant positive T wave
  2. ST segment elevation
  3. Q-wave development, R-wave diminution
  4. return of ST segment to normal, T-wave inversion
  5. Loss of R with QS pattern
  6. return of T wave to normal
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3
Q

criteria for pathologic Q waves:

A
  • The Q wave must be > 0.04 seconds in duration
  • The depth must be at least one-third the height of the R wave in the same QRS complex.
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4
Q

what are reciprocal changes?

A
  • another part of the heart/EKG that mirrors/goes along with the change
  • Finding reciprocal changes in another group supports STEMI dx!
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5
Q

What does this EKG show?

A

hyperkalemia

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6
Q

what does this EKG show?

A

hypokalemia

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7
Q

what does this EKG show?

A

pericarditis

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8
Q

what does this EKG show?

A

pulmonary embolism

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