RxP et ECG Flashcards
Surcharge pulmonaire
Céphalisation
Lignes Kerley B (1-3cm de longueur, <1mm d’épaisseur, horizontales, départ de la plèvre)
Oedème interstitiel
Oedème péribronchique
Hiles proéminents et flous
Oedème scissure
Épanchements pleuraux
Oedème alvéolaire
Dilatation AP
Cardiomégalie
HTP - RxP
Elevated cardiac apex due to right Ventricular hypertrophy
Enlarged right atrium
Prominent pulmonary outflow tract
Enlarged pulmonary arteries
Pruning of peripheral pulmonary vessels
Radiographic correlates of underlying causes like kyphoscoliosis, valvular heart disease, or changes due to interstitial lung disease can also be noted in some cases
HTP
Pericarditis
HTP
CMP-H
Péricardite
Stemi inf-post avec image miroir, mauvaise progression onde R
Bloc AV 1er, BBG intermittent,
Embolie pulmonaire
CCVD
Tachycardie atriale avec Wenckebach 4:3
FA, défaut de sensing intermittent, non capture physiologique, pseudofusion
Courte salve de TAP 17 battements avec aberrance rate-dependant
PMP DDDR
Ap-Vp adéquat à l’effort
Slow FLA with complete heart block
PVCs
VT with 2 attempt of burst followed by shock and Ap-Vp
3 DDx
Foyer ectopique
AVNRT atypique
PJRT
Bloc sino-atrial type 2
TV lente (fusion beats)
Déficit réversible léger antérieur distal/apical
Déficit réversible d’étendue modérée et d’intensité sévère inféro-lat
Faisceau intermittent
Inféroseptal VG
Aslanger Pattern
CIA secundum
Ddx TV bidirectionnelle
Digoxine
CPVT
Sarcoïdose
Myocardite
CMPi
Tumeurs cardiaques
Overdose de caféine
PMT
TV bidirectionnelle
Pacing physiologique (His)
RS avec ESA bloquée. Pas PMP indiqué
Faisceau (PR très court). À droite
Faisceau Droit postérieur
Faisceau G avec ESA
Hypothermie, Osborn J waves
Osborn Wave
J point elevation >/= 1 mm in at least 2 contiguous leads (except V1-V3)
Mostly inferior and lateral leads (II, III, aVF, I, aVL, V4-V6)
Ascending/upsloping ST usually benign
Black Heart Athletes
Ap-Vp. Fusion beats in ventricular pacing on QRS. Epicardial leads probably (high voltage)
A pace avec long BAV et conduction ventriculaire avec BBG (possiblement inversion des électrodes lors changement boitier)
Amyloïdose, pseudo-infarct, low voltage
Epsilon
Epsilon
Epsilon
CIA secundum
AVRT avec alternans électrique*
PJRT (RP long)
RP court: tachycardie jonctionnelle
RVOT VT
-BBG
-Transition V3-V4
-Axe inférieur (CCVD très antérieure)
-V1 mince
LVOT VT
-BBG
-Transition V3 ou avant
-Axe inférieur
ARVD VT
-BBG
-Axe supérieur
-Transition très tardive
Ebstein
D-TGV
L-TGV
DDx QRS large
TV
WPW
SVT avec abérance (BBG <160 msec; BBD <140 msec)
Pacing
Artéfact
Activation septale suspecte de TV - Morpho BBD
Morphologie BBD avec q initiale en V1
Onde q initiale en V1: vient de la droite donc pas possible avec BBD
Activation septale suspecte de TV - Morpho BBG
Onde Q en V6
Cimeterre (aspect de sabre/épée à cause de l’hypoplasie LID)
Sténose pulmonaire (APG dilatée)
“Witch nose”
L-TGV
Quelles électrodes sont inversées?
I et aVR
aVL et aVR
atrial fibrillation with underlying intraventricular conduction delay, pacemaker with single chamber pacing mode showing intermittent failure to sense and complete inability to capture
Belhassen/fasicular VT - right bundle branch block pattern with left axis deviation
sinus rhythm, long QT
Typical atrial flutter with complete heart block, ventricular escape
pre-excited AF with probable posteroseptal accessory pathway
Narrow complex tachycardia (NCT) with a short RP, most likely AT with long first
degree AV block given the V-A-A-V seen
NCT with short RP
NCT with long RP and ST depression consistent with ischemia
SR then sinus pause with junctional escape (incl U waves) then return to SR; LVH
sinus rhythm; fractionated QRS in V1-V2; Epsilon waves
Atrial pacing with atrial capture for 2 beats, then atrial fusion for 1 beat, then under
sensing P wave with failure to capture A for 3 beats, then adequate atrial sensing (not
pacing); Anteroseptal MI; Inferior MI
Dual chamber Pacemaker, Atrial pacing with prolonged PR interval and NSIVCD.
Ventricular non-capture. Premature ventricular beat
Lead misplacement (RA and RL lead switch)
Sinus rhythm; RBBB; Anteroseptal/lateral acute MI
Sinus rhythm, LVH, short QT
Atrial fibrillation; Ventricular PM with failure to sense; RBBB
Sinus rhythm with intermittent pre excitation (2:1) (probable left posteroseptal pathway)
Sinus rhythm; first degree AV block; 2AV1; Ventricular PM failure to sense and
intermittent capture (possibly due to refractory period pacing); Long QT; Anteroseptal
Atrial paced rhythm with capture; PVC induced WCT (RBBB morphology) with ATP
VT with fusion beat
Atrial fibrillation with complete heart block, ventricular escape
Sinus rhythm, PACs with aberrant conduction (Ashman’s Phenomenon)
Sinus rhythm, diffuse ST elevation suggestive of acute pericarditis.
Sinus rhythm with 2:1 AV conduction, LBBB
Sinus rhythm. Baseline artifact.
Sinus rhythm. LBBB. Inferior infarct with posterior involvement, acute.
Ventricular tachycardia with AV dissociation.
Ectopic atrial escape rhythm
Sinus rhythm. Coved anterior ST elevation (Type I Brugada-pattern).
Ventricular tachycardia (RVOT VT)
Repères RxP
VCS abérante