MI Flashcards

1
Q

ecg change immediately before the actual MI starts

A

t - wave inversion

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2
Q

egg change within hours after MI started and its age

A

acute - marked st elevation with upright t-wave

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3
Q

egg change hours later after MI started and age

A

acute - significant q and st elevation and upright t-wave

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4
Q

ecg change hours to a day or 2 days later and age

A

acute - significant q waves, and less st elevation with marked t inversion

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5
Q

egg change days to weeks later (can last up to a year) and age

A

age indeterminate with significant q and t wave inversion

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6
Q

egg changes weeks months or years after MI and age

A

significant q only

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7
Q

what egg change is seen when cardiac tissue is ischemic

A

newly inverted t waves

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8
Q

what ecg change is seen when acute mi begins and starts myocardial injury

A

marked st elevation and upright t-waves

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9
Q

what ecg change is seen when some of the injured myocardial tissue has died, and other tissue remains injured

A

significant q and st elevation with upright t waves

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10
Q

what ecg change is seen when infarction is almost complete, and some injury and ischemia persist at the infarct edges

A

significant q + less st elevation + marked t inversion

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11
Q

what ecg change is seen when infarction is complete

A

significant q waves and t wave inversion

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12
Q

what ecg change is seen with an “old” mi and what does it signify

A

significant q wave persists, signifying permanent tissue death

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13
Q

anterior infarct location is seen where

A

indicative changes in v1 to v4

reciprocal changes in II, III, avF

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14
Q

inferior infarct location is seen where

A

indicative changes in II, III, avF

reciprocal changes in I, avL, and V leads

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15
Q

lateral infarct is seen where

A

indicative changes in I, avL, v5-v6

may see reciprocal changes in II, III, aVF

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16
Q

posterior infarct is seen where

A

no indicative changes since no leads look directly at posterior wall

17
Q

how is posterior infarct diagnosed

A

reciprocal changes in v1 and v2 (large R wave, upright T wave, and possibly st depression) seen as a mirror image of an anterior MI

18
Q

extensive anterior aka extensive anterior-lateral

A

indicative changes in I, avL, V1-V6

reciprocal changes in II, III, aVF

19
Q

anteroseptal

A

indicative changes in v1 and v2

usually no reciprocal changes

20
Q

what coronary artery feeds the anterior segment

A

Left anterior descending (LAD)

21
Q

what coronary artery feeds the inferior segment

A

right coronary artery (RCA)

22
Q

what coronary artery feeds the lateral segment

A

circumflex

23
Q

what coronary artery feeds the posterior segment

A

rca or circumflex

24
Q

what coronary artery feeds the extensive anterior

A

lad or left main artery

25
Q

what coronary artery feeds the anteroseptal

A

lad

26
Q

I

A

lateral

27
Q

II

A

inferior

28
Q

III

A

inferior

29
Q

aVR

A

ignore this lead when looking for MI

30
Q

aVL

A

lateral

31
Q

aVF

A

inferior

32
Q

V1

A

anterior (posterior if mirror image)

33
Q

V2

A

anterior (posterior if mirror image)

34
Q

V3

A

anterior

35
Q

V4

A

anterior

36
Q

V5

A

lateral

37
Q

V6

A

lateral