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26 Cards in this Set
- Front
- Back
6 parts to EKG reading
|
rate
rhythm intervals axis chamber abnormality QRST changes |
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L axis deviation means ___
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axis between -30 and -90
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R axis deviation means ___
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axis between 90 and 180
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5 causes of L axis deviation
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LVH
LBBB inferior MI WPW L ant fascicular block |
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8 causes of R axis deviation
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RBBB
RVH PE COPD septal defects lateral MI WPW L post fascicular block |
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3 required RBBB criteria
1 optional criterion |
wide QRS
rsR' in R precordials wide S wave in I and V6 ST dep or TWI in R precordials |
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4 required LBBB criteria
1 optional criterion |
wide QRS
broad R in L leads no Q in L leads except aVL ST change with reciprocal QRS PRWP, LAD, inferior lead Qs |
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L leads
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I
aVL V5 V6 |
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4 criteria for L ant fascicular block
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L axis deviation
qR in aVL narrow complex no other LAD cause present |
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5 criteria for L post fascicular block
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RAD
rS in I and aVL qR in III and aVF narrow complex no other RAD cause present |
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to measure QT interval, measure from ___ to ___ in ___
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beginning of QRS
end of QT longest QT interval |
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Bazett formula for QTc
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QTc = QT/sqrt(RR)
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normal QTc for men
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<450 ms
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normal QTc for women
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<460 ms
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7 kinds of causes of QT prolongation
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congenital
antiarrhythmics psych drugs electrolyte disturbances antibiotics autonomic dysfunction |
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2 antiarrhythmic classes associated with QT prolongation
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Ia
III |
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4 kinds of psych drugs associated with QT prolongation
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antipsychotics
Li SSRI TCA |
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3 electrolyte disturbances associated with QT prolongation
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hypocalcemia
hypomagnesemia hypokalemia |
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2 antibiotic families associated with QT prolongation
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macrolides
quinolones |
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8 specific antibiotics associated with QT prolongation
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voriconazole
pentamidine atovaquone chloroquine TMP-SMX amantadine foscarnet atazanavir |
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4 kinds of autonomic dysfunction associated with QT prolongation
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ICH
CVA s/p CEA s/p neck dissection |
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4 intrinsic cardiac causes of QT prolongation
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CAD
CMP bradycardia high-grade AVB |
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2 miscellaneous causes of QT prolongation
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hypothyroidism
hypothermia |
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criteria for L atrial abnormality: either ___ or ___ (2)
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P wave duration in II > 120 ms
P wave duration in V1 > 40 ms P wave amplitude in V1 > 1 mm |
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2 criteria for R atrial abnormality: either ___ or ___
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P wave amplitude > 2.5 mm in II
P wave amplitued > 1.5 in V1 |
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5 causes of LVH
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HTN
AS AR HOCM aortic coarctation |