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Title: 12 Lead ECG Interpretation

Description: 12 Lead ECG Reading

Total Flash Cards: 22

Created: 07/08/2007 16:24:42

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Additional Medical Flashcards

Cards in this set:

Term
What does a Bundle Branch Block possibly indicate?
Definition
That possibly a large amount of myocardial necrosis has occurred.
Term
The Right Coronary Artery supplies how much blood to the SA and AV node?
Definition
-60% to the SA node -90% to the AV node
Term
Characteristic of Right BBB?
Definition
Positive and Negative QRS complex in V1.
Term
Characteristic of Left BBB?
Definition
Primarily negative QRS complex.
Term
Name the components of the Triad of Infaraction?
Definition
-Ischemia -Injury -Infarction
Term
In terms of the Triad of Infarction, define ischemia.
Definition
ST segment depression and/or T-wave inversion.
Term
In terms of the Triad of Infarction, define injury.
Definition
ST elevation and T-wave inversion.
Term
In terms of the Triad of Infarction, define infarction.
Definition
Q-wave = 1/3 size of QRS or wide.
Term
What does the Q-wave on infarction say about myocardial tissue?
Definition
Q-waves show an absence of electrical activity in some section of the heart, signaling dead tissue. Cells normally rest at -90mV when dead, so the Q-wave shows no activity and the stylus drops.
Term
Reciprocoal changes will usually have what type of T-wave?
Definition
Inverted T-wave.
Term
What supplies the Posterior Left Bundle Branch?
Definition
Right Cornary Artery or the Left Coronary Artery.
Term
What supplies the Anterior Left Bundle Branch?
Definition
Left Anterior Descending - part of the the Left Coronary Artery.
Term
What supplies the Right Bundle Branch?
Definition
Right Coronary Artery.
Term
The Left Coronary Artery supplies how much blood to the SA and AV node?
Definition
-40% to the SA node -10% to the AV node
Term
What might cause Right Atrial Hypertrophy?
Definition
-Tricuspid Valve Disease -Pulmonary/Respiratory Disease
Term
What might cause Left Atrial Hypertrophy?
Definition
-Mitral Valve Disease -Hypertension
Term
Characteristics of Left Anterior Hemi Block on 12 Lead ECG:
Definition
-small Q in I -small R in III -Left Axis deviation of -45 degrees or more.
Term
Characteristics of Left Posterior Hemi Block on 12 Lead ECG:
Definition
-small R in I -small Q in III -right axis deviation of +150 degrees or more.
Term
Causes of Right Ventricular Hypertrophy?
Definition
-Chronic Lung Disease
Term
Characteristics of Right Ventricular Hypertrophy on 12 Lead ECG:
Definition
Progressive decrease in size of R-wave from V1 to V4. (R-wave gets smaller from V1 to V4)
Term
Characteristics of Left Ventricular Hypertrophy on 12 Lead ECG:
Definition
Sum of S-wave in V2 and R-wave in V5 are 35mm or more on strip.
Term
Characteristics of Pericarditis:
Definition
-ST elevation in all leads (not always contiguous) -common in dialysis and kemotherapy patients -low grade fever -decreased pulse pressure -may use NSAID for tx -may see posterior reflections -Viral, Bacterial or Metabolic



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