Term
P wave is over one small box (1mm) deep and one small box long
book: V1: diphasic P wave but terminal phase is larger and usually negative |
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Definition
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Term
| notched p wave (looks like two stuck together) that is more than 3 boxes in length (0.12 mm) |
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Definition
| P. mitrale ( associated w/ L atrial Enlargement) |
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Term
tall upright narrow P wave
book: VI: diphasic P wave initial bigger than second part |
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Definition
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Term
| tall narrow p wave over 2 1/2 boxes in amplitude in INFERIOR leads (II, III ,aVF) or 1.5 small boxes in V1/V2 |
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Definition
| P pulmonale (associated w/ R atrial enlargement) |
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Term
Normally in VI the QRS complex has a small r and large S.
Remember S is negative
this is because VI is anterior on right
and ventricle depolarizes left and posterior
so what if on VI you see a R that is larger than the S? Reversed of normal ... also becomes progressively smaller V1-> V4 etc. |
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Definition
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Term
Normally in VI the QRS complex has a small r and large S.
Remember S is negative
this is because VI is anterior on right
and ventricle depolarizes left and posterior
what if V1: you have S that is super super deep?
while V5 has a huge R? |
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Definition
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Term
R wave in AVL and S wave in V3
>28 |
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Definition
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Term
| R wave in aVL and S (negative) wave in V3 added up together > 20 mm |
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Definition
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Term
| often confused w/ ischemia, in ____the ST segment is displaced OPPOSITE ot QRS deflection |
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Definition
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Term
| left posterior fasicular block |
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Definition
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Term
| WPW (Wolff parkinsons white syndrome) |
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Definition
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Term
| has a delta wave (up slope QRS) |
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Definition
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Term
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Definition
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Term
| after bundle of his the impulse travels to the left bundle branch then |
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Definition
| left posterior fasicle then left anterior fascile |
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Term
| 3 small boxes (.12) to 5 small boxes |
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Definition
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Term
| Improves to *INCREASED *heart rate/av conduction (atropine/exercise) |
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Definition
| type I Mobitz aka Wenckebach |
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Term
| Improves to *REDUCING *HR / AV conduction |
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Definition
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Term
| Develops during an acute INFERIOR MI |
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Definition
| type I Mobitz aka Wenckebach |
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Term
| Develops during an acute ANTERIOR MI |
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Definition
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Term
| Usually has a history of syncope |
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Definition
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Term
| Usually NO history of syncope / asymptomatic |
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Definition
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Term
| Morphology does not meet criteria for LBBB/RBBB (less than 3 small boxes) but there is QRS notching |
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Definition
| Interventricular Conduction Delay |
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Term
tall R in leads I/aVL
deep ass S in lead III |
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Definition
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Term
| Left anterior hemiblock acts like |
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Definition
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Term
| Left posterior hemiblock acts like |
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Definition
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Term
| not considered left ANterior Hemiblock, probably makes a left axis devation |
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Definition
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Term
| not considered left anterior hemiblock probably makes a left axis deviation |
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Definition
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Term
| Right axis deviation w/ normal or barely prolonged QRS |
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Definition
| Left posterior fasicular hemiblock |
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Term
| fatigue, stress, normal variant, smoking, drugs (alcohol, caffeine), and COR PULMONALE, can all cause |
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Definition
| Premature atrial complexes (PACs) |
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Term
| Mitral valve disease, HTN, post CABG, MI, thyrotoxicosis, PE, chornic lung disease, ASD, WPW, alcohol, idopathic |
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Definition
| causes of Atrial Fibrillation/Atrial Flutter |
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Term
| generally easier to cardiovert compared to atrial fibrillation but harder to rate control |
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Definition
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Term
| Wolf-Parkinson-White is a classical example of |
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Definition
| AVRT (atrioventricular reciprocating tachycardia) |
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Term
| You don't want to give someone who has WPW this because it will further slow down AV node thus increasing chance for stuff to go through bundle of kent |
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Definition
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Term
retrograde P waves
narrow complex
needs dual AV nodal pathways
common/easy to control
PAC travels through slow AV pathway |
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Definition
| AVNRT (AV nodal reenterant tachycardia) |
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Term
| which is worst downsloping ST, upsloping ST or horizontal ST? |
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Definition
| downsloping: further Myocardial injury |
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Term
| TQ: notched/slurred J pt and upslope ST elevation (kinda looks like a large T wave) |
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Definition
| early repolarization syndrome |
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Term
| ST elevations everywhere... some look like they have a cup in them |
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Definition
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Term
pseudoinfarction:
looks like ST elevation
(sine wave) caused by |
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Definition
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Term
| high chance of arrythmias w/ |
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Definition
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Term
inferior MI
II, III, aVF ST elevation
reciprocal I aVL (high lateral)
what artery |
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Definition
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Term
| anterior MI what are reciprocal leads |
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Definition
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Term
| if left heart dominant an inferior infarction will mess up your |
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Definition
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Term
| If right heart dominant an inferior infarction will mess up your (most common) |
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Definition
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Term
| lateral myocardial involves the |
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Definition
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Term
| ST depression and R>s in V1-3 |
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Definition
| posterior (PDA) infarction |
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Term
| block fast sodium channels (class Ia) |
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Definition
| procainamide and quinidine |
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Term
prolong QT a little bit
*priminent u waves (early finding)
*torsades de points
*wide QRS
*various AV blocks
*sinus bradycardia (marked) |
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Definition
| procainamide and quinidine |
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Term
sagging ST segment depression w/ upward concavity
saggin ST clsasic in leads V5/V6?
flattened t waves (inverted / biphasic)
wide u wave
lengthend PR |
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Definition
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Term
| Digitalis toxicity can cause almost any cardiac dysarrythmia except for |
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Definition
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Term
Digitalis toxicity can cause
AV 2nd or 3rd degree block
bidirectional ventricular tachycardia
paroxysmal atrial tachycardia w/ block
*reguarlization of A fib (b/c complete heart blocK) |
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Definition
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Term
| exacerbated by HYPOkalemia or HYPERcalcemia |
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Definition
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Term
| 5.5 - 6.5: tall narrow based T waves greater than 10mm on precordial/ 6 mm seen best on V2-V4 |
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Definition
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Term
6.5 -7 .5
first degree av block flattened and wise p waves, Qrs flatening |
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Definition
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Term
causes sinus arrest (loss of P waves) at greater than 7.5
or LBBB/RBBB
idoventricular rhythm
VT/V fib |
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Definition
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Term
prominent u wave is classic for
can also cause ST depressoin/flattened t waves
its basicallys stretching out t waves which creates u wafe |
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Definition
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Term
| u waves can maybe be seein in |
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Definition
| hypokalemia, hypercalcemia, digitalis |
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Term
Qt shortening
(from ST getting smaller)
(PR may be longer so look at ST) |
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Definition
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Term
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Definition
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Term
| If QT bigger than a couple large boxes then start to think |
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Definition
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Term
inverted P QRS T in leads I and aVL
also R waves get smaller in precordial from VI - V6 |
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Definition
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Term
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Definition
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Term
find a RSR' (kinda like two peaks )
but smaller than 3 boxes so not RBBB
right axis deviation
usually RVH
First degree av block
right atrial enlargement |
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Definition
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Term
RSR' in V1
incomplete RBBB
(above are same as ostium secundum ASD)
but its Left axis deviation******* |
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Definition
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Term
inverted t waves in V1-V3
dont think stemi |
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Definition
| Juvenile pattern (young women) |
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Term
| there is a prominent R waves at VI |
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Definition
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Term
| associated w/ eCG CHANGES due to slowed conduction through K channels, resulting in prolongation of all eCG intervals |
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Definition
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Term
| arrhythmia at core temp of |
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Definition
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Term
| potential for vfib greatest at (temp) |
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Definition
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Term
prolonged all intervals
st depression
inverted t waves |
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
| response to what is sensed I inhibt T trigger D dual |
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Definition
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Term
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Definition
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