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34 Cards in this Set

  • Front
  • Back
A wide P wave is indicative of _
left atrial abnormality
A tall P wave is indicative of _
right atrial abnormality
A normal q wave is _ seconds. An abnormal q wave (wider/deeper) indicates _
>.03 seconds

indicates Scar tissue (dead tissue)
A narrow qrs complex could be due to _ or _
Right Ventricular hypertrophy, or posterior MI
T wave inversion is indicative of _
ischemia
The normal PR interval is _ - _ seconds.

When it is a longer interval, what is indicated?

When it is shorter it is called _, and an occur in _
.12-.20 s

1st degree block > .20

Preexcitation <.12, as in WPW
ST elevation indicates _


ST depression indicates _
an acute MI (3-5 days) --> Injury

ischemia
ST scooping is indicative of _
digoxin toxicity
The QT interval represents the _, and a good indicator of _
duration of ventricular systole

repolarization
The PR interval is measured from the (beginning/end) of the P wave to the (beginning/end) of the R wave
Beginning, beginning
The ST segment is measured from the (beginning/end) of the S wave to the (beginning/end) of the T wave
end (of QRS)

beginning of T
The Q T Interval is measured from the (beginning/end) of the QRS segment to the (beginning/end) of the T wave
Beginning

End

(Includes both QRS complex and T wave)
A normal QT interval is _-_ seconds.

Less than this could mean _

Greater than this could be due to_
.36-.45w

hypercalcemia <.36

Hypocalcemia, low K, low Mg >.45 (could be d/t drugs, starvation, prolonged QT, surgery)
Regarding rate, the line between big blacks lines is _ seconds, therefore smalled seconds are _
.20 seconds

.04 seconds
Regarding rate, if there was 2 lines between each QRS, the approximate rate would be _

3 line?
150 bpm

100 bpm
Regarding rate, if there was 4 lines between each QRS, the approximate rate would be _
75 bpm

60 bpm
What are the different types of regular rhythm?
Normal, Atrial, Junctional Ventricular
After determining that you have a regular rhythm, what is the next step you should look at?
P waves

Are there P waves? Are they normal (axis)
Regular rhythm, with a p wave present for each QRS complex, but the P axis is abnormal

What rhythm is this?
Atrial
Regular rhythm, with no P waves present, QRS complex is narrow. What is the rhythm?
Junctional
Regular rhythm with no P wave and wide QRS, what is the rhythm?
Ventricular
On ECG you see continuous atrial spike, irregular ventricular rhythm, no discernable p waves, irregular qrs. What is the rhythm?
Atrial Fibrillation

(Irregular)
How would you suspect a Atrial rhythm to present on an ECG?
Regular rhythm with abnormal P axis, but there is a P wave for each qrs
How would you suspect a Junctional rhythm to present on an ECG?
Regular rhythm, with No P wave, (and narrow QRS)
How would you suspect a Ventricular rhythm to present on an ECG?
Reg Rhythm No P wave + Wide QRS
Irregular qrs, but you do see p waves before each rhythm, Atrial rate > 100
Multifocal Atrial Tachycardia
When the PR interval is constantly changing what condition is this?
3rd degree AV block

There is no association between atrium and ventricle, QRS interval is slower than p waves
A Mobitz I second degree block : What would you see on an ECG?
Every once in a while a qrs is missed, the PR interval slowly increases.
What would an ECG show for a Mobitz II second degree block?
more ps: qrs all the time (ie 3:1)
A first degree AV block will show what on an ECG?
PR interval >.,2 seconds, but every beat still gets through
Problems in Leads I, II and AvL, where is the problem?
Lateral Left Ventricle
If an MI occured in the lateral left ventricle, what leads would show abnormalities?
I, II, AvL
If an MI occured in the Interior portion of the heart, what leads would you expect to be affected?
II, III, and AvF
Problems in II, III, AvF, where is the problem
Interior