Cardio Flashcards

1
Q

Anterior leads ECG

A

V1-V4

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2
Q

Lateral leads ECG

A

V5, V6, aVL and I

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3
Q

Inferior viewing leads ECG

A

II, III, aVF

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4
Q

Right atrium view ECG

A

aVR

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5
Q

Steps in interpreting ECG

A
Patient name etc
Heart rate
Heart rhythm
Axis
PQRST
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6
Q

AF ECG

A

No P waves usually seen
ECG baseline is irregular
QRS are irregularly irregular

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7
Q

Flutter ECG

A

Sawtooth

There may be a fixed degree of AV block e.g 2 to 1 or 3 to one (one of every three atrial impulses goes to ventricles)

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8
Q

PR interval

A

3-5 small sq 0.12-0.2 sec

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9
Q

QRS

A

3 small sq 0.12 sec

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10
Q

LBBB

A

WiLLiaM

this can also be a sign of MI

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11
Q

Hyperkalaemia ECG

A

Tall tented T
Loss of P
QRS broadening
Sine wave shaped ECG (emd-stage)

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12
Q

Hypokalaemia ECG

A

Flat broad T
ST depression
Long Q-T

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13
Q

Shockable rhythms

A
VF
Pulseless VT (if pulse then must give synchronised shock in order to avoid R on T)
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14
Q

Non-shockable rhythms

A

PEA

Asystole

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15
Q

Causes of raised Toroponin

A
MI
HF
Myocarditis
PE
Renal failure
Sepsis
SVT
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16
Q

What is Troponin

A

This is protein involved with cardiac muscle contraction

17
Q

Troponin test timing

A

Troponin can be seen 2 hours after and lasts up to 7 days

Usually testing done 12 hours following suspected MI

18
Q

What enzymes are raised following heart damage?

A

Troponin
Creatine kinase (CK-MB more cardio specific
AST
Lactate dehydrogenase

19
Q

BNP: what is and when raised

A

This is released by chambers of the heart in an attempt to increase sodium and fluid excretion.

Elevated in HF