Advanced ECG Flashcards
Lance Carter, CAA (144 cards)
1
Q
Cardiac Conduction
A
2
Q
“Non-pacer” Action Potential
(Myocytes, Electrical Conduction Cells)
A
3
Q
SA Node Action Potential
A
4
Q
Limb Leads (I, II, III, aVR, aVL, aVF)
A
5
Q
Standard (Bipolar) Limb Leads (I, II, & III)
A
6
Q
Standard (Bipolar) Limb Leads
Lead 1
A
7
Q
Standard (Bipolar) Limb Leads
Lead II
A
8
Q
Standard (Bipolar) Limb Leads
Lead III
A
9
Q
Standard (Bipolar) Limb Leads
This picture shows the angle that these leads view the heart through
A
10
Q
Augmented (Unipolar) Limb Leads (aVR, aVL, aVF)
A
11
Q
Naming The Unipolar Limb Leads
The first letter “a”
A
12
Q
Naming The Unipolar Limb Leads
The second letter “V”
A
13
Q
Naming The Unipolar Limb Leads
The third letter “R, L, or F”
A
14
Q
Direction of Lead aVR
A
15
Q
Lead aVR
A
16
Q
Direction of Lead aVL
A
17
Q
Lead aVL
A
18
Q
Lead aVF
A
19
Q
Direction of Lead aVF
A
20
Q
Augmented (Unipolar) Limb Leads
A
21
Q
All Limb Leads
A
22
Q
Mean Electrical Axis (MEA)
A
23
Q
Normal QRS Axis (-30° To 110°)
A
24
Q
Normal QRS Axis (-30° to ≈ 90-110°)
A
25
Left Axis Deviation
26
Right Axis Deviation
27
Possible Causes of Right Axis Deviation (3)
28
Extreme Right Axis Deviation
29
How The MEA Affects The R Wave
30
MEA’s Effect On The R Wave
Positive R Deflection
31
MEA’s Effect On The R Wave
Negative R Deflection
32
MEA’s Effect On The R Wave
Equiphasic Deflection
33
Determining The Expected QRS Deflection
Positive R Wave Deflection
34
Determining The Expected QRS Deflection
Negative R Wave Deflection
35
Determining The Expected QRS Deflection
Equiphasic R Wave Deflection
36
Questions
37
Questions
38
Questions
39
Questions
40
Questions
41
Questions
42
Questions
43
Questions
44
Summary of at Lead II
45
ECG Identification of a Normal QRS Axis
46
Normal Axis 12 Lead ECG
47
ECG Identification of a Left Axis Deviation (-30⁰ to -90⁰)
48
ECG Identification of a
Right Axis Deviation (90-110⁰ to 180⁰)
49
Precordial Leads (V1-V6)
50
Precordial Lead Placement
51
How to Analyze an ECG
Rate and Rhythm
52
How to Analyze an ECG
Look at the P Waves
53
How to Analyze an ECG
Look at the QRS Complexes
54
How to Analyze an ECG
Look at all Intervals
55
How to Analyze an ECG
Look for Signs of Ischemia
56
Normal Sinus Rhythm
57
Sinus Bradycardia
58
Sinus Tachycardia
59
Irregular Sinus Rhythm
| (Sinus Arrhythmia)
60
Sick Sinus Syndrome (SSS)
61
Supraventricular Ectopy (11)
62
Sinus Rhythms (5)
63
Premature Atrial Contraction
64
Ectopic Atrial Beats
65
Ectopic Atrial Tachycardia
66
Wandering Atrial Pacemaker
67
Multifocal Atrial Tachycardia (MAT)
AKA: Chaotic Atrial Tachycardia (CAT)
68
Treatment for Multifocal Atrial Tachycardia (MAT)
69
Atrial Flutter
70
Type I vs. Type II Atrial Flutter
71
Atrial Fibrillation
72
Controlled vs. Uncontrolled Afib
73
Supraventricular Tachycardia (SVT)
74
Premature Junctional Contraction (PJC)
75
Junctional Rhythm
76
Junctional Rhythm Classification
77
Junctional Escape Beat
78
Ventricular Ectopy
79
Premature Ventricular Contractions (PVC’s)
80
Types of PVCs
81
Bigeminal PVCs
82
Unifocal PVCs
83
Multifocal PVCs
84
Couplet PVCs
85
Salvo PVCs
86
Ventricular Escape Beat
| (Escape Ventricular Contraction)
87
Ventricular Escape Rhythm (Idioventricular Rhythm)
88
Accelerated Idioventricular Rhythm
89
Ventricular Tachycardia (Vtach)
90
Torsades de Pointes
91
Ventricular Fibrillation (Vfib)
92
1st Degree AV block
93
Mobitz (2nd Degree AV) Type I Block
| (Wenckebach)
94
2nd Degree AV Block Mobitz Type II
95
96
3rd Degree AV Block (Complete Heart Block)
97
Right Bundle Branch Block (RBBB)
98
ECG Description For RBBB
99
Left Bundle Branch Block (LBBB)
100
ECG Description For LBBB
101
Clinical Implications Of Bundle Branch Blocks
102
Right Atrial Enlargement
103
ECG Criteria for Right Atrial Enlargement (RAE)
104
Clinical Implications Of Right Atrial Enlargement (RAE)
105
Left Atrial Enlargement (LAE)
106
ECG Criteria for Left Atrial Enlargement (LAE)
107
Clinical Implications Of Left Atrial Enlargement (LAE)
108
Right Ventricular Hypertrophy (RVH)
ECG Criteria for Right Ventricular Hypertrophy (RVH)
109
RVH and RAE
110
RVH, Borderline RAE
111
ECG Criteria for Left Ventricular Hypertrophy (LVH)
112
LVH with Repolarization Abnormalities
113
LVH
114
Bundle Branch Blocks vs. Ventricular Hypertrophies
115
R Wave Progression
116
Poor (Abnormal) R Wave Progression
117
Electrical Alternans
118
Signs of Coronary Ischemia (4)
119
T wave Inversion
120
Electrical Alternans
121
ST Depression
122
ST Elevation
123
Pathologic Q waves
124
Treatment of Ischemia/Infarction (3)
125
Coronary Blood Supply
126
“Walls” of Ventricles
127
Right and Left Coronary Arteries
128
Contiguous ECG Leads
129
Limb Leads
130
Precordial Leads
131
Contiguous Leads
132
Anterior Myocardial Infarction
133
Anterior Wall MI
134
Inferior MI
135
Inferior Wall MI
136
Lateral Myocardial Infarction
137
Lateral Wall MI
138
Posterior MI
139
Septal MI
140
ECG “Artifact”
141
ECG “Artifact” Related to ST Segments
142
Basic ECG Rhythms Practice
[https://ahainstructornetwork.americanheart.org/AHAECC/ecc.jsp?pid=ahaecc.studentlanding](https://ahainstructornetwork.americanheart.org/AHAECC/ecc.jsp?pid=ahaecc.studentlanding)
(You must enter “acls15” for the code to take the ACLS quiz)
143
PALS ECG Rhythms Practice
[http://www.practicalclinicalskills.com/ekg-practice-drill.aspx](http://www.practicalclinicalskills.com/ekg-practice-drill.aspx)
(You must enter “palsprovider” for the code to take the PALS quiz)
144
More advanced ECG rhythms practice:
[http://ecg.utah.edu/outline](http://ecg.utah.edu/outline)
[http://ecg.utah.edu/img\_index](http://ecg.utah.edu/img_index)
[http://ecg.utah.edu/tests](http://ecg.utah.edu/tests)
