27. Introduction to the 12-lead ECG Interpretation Flashcards
What does an ST elevation indicate?
an MI in progress (acute)
In ____, a large Q wave means an MI (necrosis, infarct).
lead III
LVH will have highly positive R waves and a negative T wave in leads _____.
V4, V5, and V6
If an acute infarct shows up on leads V1 or V2, it’s located in the ____ of the heart.
anteroseptal wall
The site of an acute MI is where the ____ shows up on ECG.
ST elevation
In lead III, a large Q wave means _____.
an MI (necrosis, infarct)
Each mm of the read paper is equal to ____ mV.
1
Everything is _____ in aVr.
negative
Lead 1 is a bipolar lead that is _____ in the right arm and ____ in the left arm.
negative; positive
_____ will have highly positive R waves and a negative T wave in leads V4, V5, and V6.
LVH
What is aVf?
the unipolar lead headed straight down the body
Lead III is a bipolar positive in the _____ and negative in the _____.
right leg; left arm
If an acute infarct shows up on leads _____, it’s located in the anterior wall of the heart.
V3 or V4
If an acute infarct shows up on leads V3 or V4, it’s located in the ____ of the heart.
anterior wall
What does RA enlargement look like on lead II?
it has an early positive spike that’s taller than normal and dips slightly when the LA depolarizes
A widened QRS that is downwards/negative in V1 is indicative of?
a left bundle branch block (LBBB)
If there are positive ST elevations in every lead but aVr, it’s not a bunch of MIs, it’s _____.
acute pericarditis
A _____ means the infarct is acute but a _____ means it is an old MI.
ST elevation; Q wave
Which are the L sided leads?
V4, 5, and 6
What is aVL?
the unipolar lead on the L arm
Lead I is a bipolar lead that is negative in the _____ and positive in the ______.
right arm; left arm
Hemiblocks cause ______ without _____.
axis shifts; widening the QRS
How will a left bundle branch block (RBBB) look on V1?
a widened QRS that is downwards/negative
Which is the unipolar lead on the L arm?
aVL
What is aVr?
the lead on the R arm
What does a bundle branch block do to the ventricular depolarization?
whichever branch is blocked, that side of the heart has to wait for the depol to go all the way around the other side of the heart first, so there will be a delay of depol on the affected side
If the P wave goes in the opposite direction of the R wave, this is abnormal and means ____ or ____.
hypertrophy; ischemia
To remember R vs L BBB QRS direction: - when you drive a car, to turn RIGHT you flick the turn signal UPWARDS. To turn LEFT, you hit the turn signal DOWNWARDS.
for your learning pleasure only!