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9 Cards in this Set
- Front
- Back
LVH
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1. Add the depth of the S wave in V1 or V2, whichever is deepest, to the height of the R wave in V5 or V6, whichever is the tallest. In order to diagnose LVH, the total must be greater than or equal to 35 mm. In other words: (S in V1 or V2) + (R in V5 or V6) >35 mm.
2. Any precordial lead is >45 mm. 3. The R wave in aVL is > 11 mm. 4. The R wave in lead I is > 12 mm. 5. The R wave in lead aVF is >20 mm. |
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WPW
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1. Shortened PR interval (<0.12 seconds) with a normal P wave
2. Wide QRS complex (>0.11 seconds) 3. The presence of a delta wave 4. ST-T wave changes or abnormalities 5. Association with paroxysmal tachycardias |
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LBBB
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1. Duration >0.12 seconds
2. Broad, monomorphic R waves in I and V6, with no Q waves 3. Broad, monomorphic S waves in V1; may have a small R wave |
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RBBB
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1. QRS prolongation of >0.12 seconds
2. Slurred S wave in leads I and V6 3. RSR' pattern in lead V1, with R' taller than R |
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Pericarditis
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1. PR depression
2. Diffuse ST elevation 3. Scooping, upwardly concave ST segments 4. Notching of the end of the QRS |
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STEMI Alert
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1. New or presumably new ST elevation >1 mm in two contiguous limb leads, or in two or more adjacent precordial leads (V1 through V6) with reciprocal depression.
2. New or presumably new left bundle branch block (LBBB). 3. Prominent R waves with ST segment depression >1 mm in V1 and/or V2. |
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Possible hypothermia
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Osborn waves
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Hyperkalemia
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1. T wave abnormalities, especially tall and peaked Ts
2. Interventricular conduction delays (IVCDs) 3. P waves missing or of decreased amplitude 4. ST segment changes simulating an injury pattern 5. Cardiac arrhythmias, any and wall varieties |
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Things to look for
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STEMI, LBBB, RBBB, Hyperkalemia, Pericarditis, LVH, WPW, Possible hypothermia.
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