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9 Cards in this Set

  • Front
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LVH
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.
WPW
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
LBBB
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
RBBB
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
Pericarditis
1. PR depression
2. Diffuse ST elevation
3. Scooping, upwardly concave ST segments
4. Notching of the end of the QRS
STEMI Alert
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.
Possible hypothermia
Osborn waves
Hyperkalemia
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
Things to look for
STEMI, LBBB, RBBB, Hyperkalemia, Pericarditis, LVH, WPW, Possible hypothermia.