TBL 4 Flashcards

1
Q

Normal ECG paper calibrations:
i) 1 small square=________second (X-axis)= ________ (Y-axis)
ii) Standardized speed of ECG machine (USA): ________ mm/second

A
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2
Q

leads I, II, III, aVR, aVL, and aVF lie in the ________ plane,
while leads VI to V6 lie in the _______
plane

A

leads I, II, III, aVR, aVL, and aVF lie in the vertical plane, while leads VI to V6 lie in the horizontal
plane

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3
Q

– Anterior leads: _________

(Note: _______________[LAD] coronary artery supplies anterolateral myocardium, apex, interventricular septum, 45–55% of the left ventricle of heart)

A
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4
Q
  • Lateral leads: __________

(Note: ____________ [LCX] coronary artery supplies posterolateral left
ventricle, and anterolateral papillary muscle of heart)

A
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5
Q

Inferior leads: ________

(Note:______________ It contributes the right side of the heart, and parts of
interventricular septum)

A
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6
Q

Septal leads:________

A

V1 and V2

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7
Q

I. Bipolar (standard) limb leads placement

A

Einthoven’s triangle

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8
Q

what is Goldberger’s central terminal

lead 1,2,3 and avL, avR and avF are all on the ____ plane

A
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9
Q

where are the precordial leads place and what is the Wilson’s central terminal?

A
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10
Q

draw out ecg and all its components.

A
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11
Q

in the precordial leads

what happens to the R and S waves

A
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12
Q

Major components of a normal ECG:
i) P wave:
* depol of _____
* no notching or peaking; two-humped and bufid in _________
* normal duration of P wave: less than _______seconds

tall, peaked, and prolonged duration in right atrial
enlargement

A
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13
Q

what does Q tell you?

A
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14
Q

what does R wave tell you?

  • grow in size from lead V1 to V6– Characteristically, in a healthy adult, __________ get larger and ________ get smaller from lead V1 to lead V6
A
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15
Q

what does the S wave tell you?

A
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16
Q

what does the QRS complex tell you?

normal duration of QRS complex: ____________ seconds

prolonged duration in _______________

irregular in ______________

A
17
Q

what does a T wave tell you and how long does it last?

peaked in ________

inverted in __________

A

inverted in ventricular myocardial ischemia

18
Q

P-R segment:

A

period of AV pause (AV nodal delay)

19
Q

QRS complex prolonged duration in

A

ventricular
tachycardia, bundle branch block, severe hyperkalemia (with loss of P waves), overdose of tricyclic antidepressants,

20
Q

inverted T wave leads is _________________________

normal duration

A
21
Q

what does an S-T segment tell you?

A

when ventricles are fully depol.

22
Q

abnormal ST segment depression > 1 mm may occur in– ________________________________

A

Myocardial infarction (MI), Left ventricular hypertrophy,
and Digoxin toxicity

23
Q

abnormal ST segment elevation > 1 mm may occur in– __________________

A

abnormal ST segment elevation > 1 mm may occur in– ST segment elevation myocardial infarction (STEMI),
and Pericarditis, etc

24
Q

what does the R-R interval tell you?

A
25
Q

does does the P-R interval tell you?

average duration?

often prolonged in _________, etc

A

first degree heart block

26
Q

Q-T interval:

what does it tell you

average time

prolonged in _________________

A
27
Q

what does is a cardiac vector and what does it mean?

A
28
Q

what are the

– lead I is
– lead II is
– lead III is
– lead aVR is
– lead aVL is
– lead aVF is

A

– lead I is 0
– lead II is +60
– lead III is +120
– lead aVR is -150
– lead aVL is -30
– lead aVF is +90

29
Q

right vs left axis deviation

A
30
Q

inverted T wave tells you

A

MI, Left ventricular hypertrophy, high intracranial pressure, ventricular myocardial ischemia