EKGS cardiomyopathy and heart enlargement Flashcards

1
Q
A

right atrial enlargement

RIGHT ATRIAL ENLARGEMENT (RAE)
– P – pulmonale peaked P wave with amplitude greater than .25 (2.5 mm) mv in leads II, III, AVF and greater than .1 mv in leads V1 & V2
– P wave has a slight rightward axis

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2
Q

II + V1

A

normal

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3
Q

II + VI

A

RAE

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4
Q

II + VI

A

LAE

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5
Q

II + VI

A

RAE (right) + LAE (left)

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6
Q

II + VI

A
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7
Q

II + VI

A
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8
Q
A
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9
Q
A

RIGHT ATRIAL Abnormality (overload) (RAE)
– P

– pulmonale peaked P wave with amplitude greater than .25 (2.5 mm) mv in leads II, III AVF and greater than .1 mv in leads V1 & V2

– P wave has a slight rightward axis

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10
Q
A
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11
Q
A

right atrial enlargement

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12
Q
A

RAE

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13
Q

p wave tall, pointed; taller in III than in I

A

RAE, pulmonale

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14
Q

p wave wide, notched; taller in I than in III

A

P – mitrale
– 2nd half of P wave negative in V1 or III

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15
Q

the most common intraventricular conduction defects.

A

Left Anterior Fascicular Block (LAFB‐KH)

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16
Q
A
  • Left atrial enlargement (LAE)
  • P‐mitrale “M” signs to P wave
  • broad, notched P wave
  • p wave duration .11 sec
  • p wave amplitude of terminal negatively directed
    • portion in V1 greater than .1 mV or 1 mm deep
    • .04 sec wide with slight axis of P wave
17
Q
A

LAFB

18
Q
A

Bifascicular Block: RBBB + LAFB‐KH

19
Q

left posterior hemiblock (LPH) criteria

A

Right axis deviation (RAD) usually ≥ + 120 degrees)

– Small R in leads I and AVL
– Small Q in leads II, III, AVF
–S1Q3 (SinIandQinIII)
– No evidence of RVH

20
Q
A

posterior hemiblock

21
Q
A

posterior hemiblock