Understanding the ECG Flashcards

1
Q

What is the value of the standard sweep speed?

A

25 mm/s

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2
Q

What are some of the things ECGs can be used to identify?

A
tacharrhythmias
bradyarrhythmias
MI
Myocardial ischaemia
Cardiomyopathy
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3
Q

Which limb has the grounding lead?

A

right leg

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4
Q

Which limbs are connected by lead 1? Which electrode is positive and which negative?

A

right arm to left arm
R - negative
L - positive

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5
Q

Which limbs are connected by lead 2? Which electrode is positive and which negative?

A

right arm to left leg
R - negative
L - positive

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6
Q

Which limbs are connected by lead 3? Which electrode is positive and which negative?

A

left arm to left leg
A - negative
L - positive

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7
Q

What do the three leads form?

A

Einthoven’s triangle

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8
Q

What are the two components of the augmented leads?

A

Only one electrode is a true electrode (positive), the other is an average of two electrodes

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9
Q

Which electrodes are positive and negative in aVR lead?

A

right arm is positive,

average of left arm and left leg is negative

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10
Q

Which electrodes are positive and negative in aVL lead?

A

left arm is positive,

right arm and left leg average is negative

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11
Q

Which electrodes are positive and negative in aVF lead?

A

left leg is positive,

right arm and left arm average is negative

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12
Q

At which angle do the augmented and 3 leads go?

A
lead 1 = 0 degrees
lead 2 = 60
aVF = 90
lead 3 = 120
aVR = 210
aVL = -30 (330)
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13
Q

What is the range for normal QRS axis, left axis and right axis?

A

normal QRS axis = -30 to 90 degrees

right axis = 90 to 180

left axis = -30 to -90

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14
Q

Which 2 leads can be used to find QRS axis?

A

Lead 1 and aVF lead (must be at 90 degrees)

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15
Q

How is QRS axis calculated?

A

Find the angle between by findings number of squares in each side and use tan

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16
Q

Are the chest leads unipolar or bipolar?

A

Unipolar (Bipolar uses two true leads)

17
Q

What are the positive and negative electrodes for a chest lead?

A

The positive is the chest lead. The negative is average of leads 1,2 and 3 (Wilson’s central terminal)

18
Q

What areas of the heart do each of the chest leads look at?

A

V1 and V2 - RV & maybe septum
V3 and V4 - anterior
V5 and V6 - lateral side of left ventricle