• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

Card Range To Study

through

image

Play button

image

Play button

image

Progress

1/13

Click to flip

Use LEFT and RIGHT arrow keys to navigate between flashcards;

Use UP and DOWN arrow keys to flip the card;

H to show hint;

A reads text to speech;

13 Cards in this Set

  • Front
  • Back

ECG approach

P-waves
• Rate
• Rhythm
• Configuration
• Preceding every QRS?
QRS Complex
• Rate
• Rhythm
• Configuration
• Following every P-Wave?
PR interval
• Duration
• Relationship
• Constant
Findings
• Pathological Q waves
• ST Segment – Elevation / Depression
• T Waves
• Other findings

Normal Sinus rhythm

Rate: 60-100


Rhythm: Regular


QRS: 0.06–0.10


P Wave: Present and proceeds each QRS


PR Interval: (0.12-0.20 sec)

VF

Rate: 150-500


Rhythm: Chaotic, Irregular


QRS: None


P Waves: None


PR interval: None

VT

Ventricular Tachycardia (VT) is a broad complex tachycardia originating in the ventricles.


Rate: Rapid (over 100bpm)


Rhythm: Regular


QRS: Wide (over .12, meaning 3+ little squares)


P Waves: Not Present


PR Interval: Not Present

Atrial Fibrillation

Rate: Varies


Rhythm: Irregular


QRS: Normal


P waves: No p-waves before the QRS on the ECG. This is because there are no coordinated atrial contractions


PR Interval: Cannot find as no P waves



The heart rate will be irregular. Irregular impulses that the ventricles are receiving cause the irregular heart rate.

Ischemic changes in NSTEMI and Unstable Angina

ST segment depression (depression over .5mm or half a square that is horizontal or downsloping indicates ischemia if in 2+ consecutive leads. 1mm+, worse prognosis, 2mm+ High probablity and significant mortality )



A= upsloping B=Downsloping C=Horizontal



T wave flattening or inversion (T wave inversion in lead III is a normal variant.)

ST segment changes

Wave Representations

P wave
Atrial depolarization
PR Interval
Time taken for impulse to spread thru AV node
QRS complex
Ventricular depolarization
T wave
Ventricular repolarization

ECG Squares

Each small square is 1 mm in length and represents 0.04 seconds. Each larger square is 5 mm in length and represents 0.2 seconds.

Sinus Tachycardia

Rate: <100


Rythm: Regular


QRS: <.12


P Waves: Present, associated with each QRS


PR interval: (0.12-0.20 sec)

Sinus Bradycardia

Rate: <60


Rythm: Regular


QRS: <.12


P Waves: Present, associated with each QRS


PR interval: (0.12-0.20 sec)


Pacemaker Rates

SA node 60-100
AV node 40-60
Bundles of HIS 30-40
Purkinje Fibres 15-40

Normal Intervals

PR interval 0.12 - 0.2 secs
QRS interval <0.12 secs