PHYS - EKG Cheat Sheet Flashcards

1
Q
  • P wave present
  • Positive inferior leads
  • Regular Rhythm
A

NORMAL SINUS RHYTHM

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2
Q
  • No P waves
  • Irregular Rhythm
  • Rapid rate, usually ventricular
A

ATRIAL FIBRILLATION

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3
Q
  • P waves present
  • Rate of 300bpm
  • Saw tooth pattern
  • Regular or irregular
A

ATRIAL FLUTTER

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4
Q
  • Narrow complex
  • Rate of 150 bpm
  • Regular
A

SVT

SUPRAVENTRICULAR TACHYCARDIA

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5
Q
  • Wide complex
  • Relatively regular
  • Rate of 150+ bpm
A

VENTRICULAR TACHYCARDIA

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6
Q
  • Wide complex
  • Very fast
A

VENTRICULAR FIBRILLATION

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7
Q
  • No P wave
  • Can be narrow or wide QRS
  • Slow
A

JUNCTIONAL RHYTHM

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8
Q

RATE

A
  • 300/# of squares between peaks
  • Normal 60-100 bpm
  • Tachycardia >100 bpm
  • Bradycardia <60 bpm
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9
Q

AXIS

A
  • Normal Positive QRS in Leads I and II
  • Right Negative in Lead I (Positive Lead II)
  • Left Negative in Lead II (Positive Lead I)
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10
Q
  • P wave present
  • Negative in inferior leads (usually)
  • “Early”
A

PREMATURE ATRIAL COMPLEXES

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11
Q
  • No association with P wave
  • Wide QRS complex
  • “Early”
A

PREMATURE VENTRICULAR COMPLEXES

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12
Q
  • PR > 200ms
  • 1:1 P:QRS ratio
  • No dropped beats
A

FIRST DEGREE AV BLOCK

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13
Q
  • Progressive prolongation of PR
  • Leading to dropped beats
A

2ND DEGREE AV BLOCK - TYPE I

WENCKEBACH

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14
Q
  • Random dropped beats without prior prolongation of the PR
A

2ND DEGREE AV BLOCK - TYPE II

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15
Q
  • P waves and QRS complexes are completely dissociated
A

3RD DEGREE AV BLOCK

(COMPLETE HEART BLOCK)

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16
Q
  • QRS > 120 ms
  • QRS positive in V1
A

RIGHT BUNDLE BRANCH BLOCK

17
Q
  • QRS > 120ms
  • QRS positive in V6 or I,AVR
A

LEFT BUNDLE BRANCH BLOCK

18
Q
  • Presence of Q waves
A
  • Suggests a prior infarct
  • Must be in consecutive leads with a vascular distribution
19
Q
  • R wave in V1 or I, AVR of > 11 mV OR
  • R wave in V6 + S wave in V2 >= 3.5 mV
A

LEFT VENTRICULAR HYPERTROPHY

20
Q
  • ST depression
A
  • Ischemia
  • Always in inferiolateral leads, regardless of vessels involved
21
Q
  • ST elevation
A
  • Infarction
  • Localizes to the coronary vessel involved