Normal ECG Flashcards
P wave
Atrial depolarization
In what leads is the P wave upright?
1, 2, AVF, V4, V5, V6
In what leads is the P wave inverted?
AVR
PR Interval
From the beginning of the P wave to the beginning of the QRS complex
What does the PR interval represent?
Time from the SA node to the ventricular myocyte
Normally, the PR interval should be less than?
0.2 seconds
Each little box on an ECG represents ____ mm and ____ seconds
1 mm
0.04 seconds
Each bigger box (dark line to dark line) on an ECG represents _____ mm and ____ seconds
5 mm
0.20 seconds
QRS complex
Ventricular depolarization
The QRS complex should be less than ___ seconds
0.10
Q waves should be less than ____ seconds in width
0.03
ST segment takes place after?
QRS complex
Normally, the ST segment is?
Isoelectric (baseline)
The ST segment is NEVER normally depressed more than ___ mm
1/2
If the ST segment is elevated more than ___ mm, it could indicate subepicardial ischemia
1-2
If the ST segment is depressed more than 1/2 mm, it could indicate?
Subendocardial ischemia
T wave
Ventricular repolarization
In what leads is the T wave upright?
1, 2, V3 - V6
In what leads is the T wave inverted?
AVR
In standard leads, the T wave should not be taller than?
5 mm
In precordial leads, the T wave should not be taller than?
10 mm
QT interval
Ventricular systole
What is a U wave associated with?
Hypokalemia
What are the bipolar limb leads?
1, 2, 3,
What are the augmented limb leads?
AVR, AVL, AVF
What are the precordial chest leads?
V1 - V6
What leads take measurements from the lateral body wall?
1, AVL, V5, V6
What leads take measurements from the inferior side?
2, 3, AVF
AV block occurs when?
PR interval»_space; 0.2 seconds
For the QRS complex, what is the 1st downward deflection known as?
Q wave
For the QRS complex, what is the 1st upright deflection known as?
R wave
For the QRS complex, if a Q wave does NOT occur, what is the 1st upright deflection known as?
R wave
For the QRS complex, what is the downward deflection following an R wave known as?
S wave
If there are multiple R and S waves, they get what symbol designation?
Prime
What is classified as a sinus rhythm?
When a P wave occurs before every QRS complex
What are the best leads for reading P waves?
2 and V1
Heart rate greater than 100
Tachycardia
Heart rate slower than 60
Bradycardia
What are the numbers for calculating heart rate starting with the next dark line after the aligned R wave?
300 150 100 75 60 50 43
Lead I is perpendicular to?
AVF
Lead II is perpendicular to?
AVL
Lead III is perpendicular to?
AVR
The 6 limb leads (I, II, III, AVF, AVL, AVR) intersect where?
Heart
Lead I is what degrees?
0 and 180
Lead AVR is what degrees?
+30 and -150
Lead II is what degrees?
+60 and -120
Lead AVF is what degrees?
+90 and -90
Lead III is what degrees?
+120 and -60
Lead AVL is what degrees?
+150 and -30
A normal axis
Between 0 and +90
In what 2 leads are you looking for deflections for the axis?
Lead I and AVF
Normal axis deflections
Lead I: Positive
Lead AVF: Positive
Left axis
Between 0 and -90
Left axis deflections
Lead I: Positive
Lead AVF: Negative
Right axis
Between +90 and 180
Right axis deflections
Lead I: Negative
Lead AVF: Positive