QRS Flashcards
How to measure QRS complex?
beginning of Q wave to end of S wave
what is QRS complex?
the ventricular depolarisation
whats the normal duration of a QRS complex?
<120ms (0.12s) 3 small boxes
whats a normal Q wave?
<40 ms (0.04s) and <2mm depth 1 box across and 2 boxes down
Whats an abormal QRS complex?
>120ms (0.12s) above 3 small boxes
what could cause an abnormal QRS complex?
ventricular conduction defects such as bundle branch box (left and right ventricular hypertrophy)
what could a low voltage (QRS <5mm) suggest?
hypothyroidism COAD - chronic obstructive airways disease myocarditis pericarditis and pericardial effusion
how to measure left ventricular hypertrophy?
R wave in V5 >25mm
how to measure right ventricular hypertrophy
Dominant R wave in V1 t wave inversion in V1-V3 or V4 Deep S wave in V6
left ventricular hypertrophy
R wave in V5 >25mm
right ventricular hypertrophy
V1 - dominant R wave
V1-V3 or V4 - T wave inversion
V6 - deep s wave
whats a significant Q wave?
>40ms (0.04s) 1 small square
depth >2mm - 2 small squares
present couple days after MI
If present in lead III, consider PE