ECG Flashcards

1
Q

Normal sinus rhythm

  • Rhythm
  • Rate
  • QRS Duration
  • P wave
  • P-R interval
A
  • Rhythm: regular
  • Rate: 60 - 100 bpm
  • QRS duration: normal
  • P wave: visible before each QRS complex
  • P-R interval: normal ( less than 5 small squares)
  • Indicates: the electrical signal is generated by the sinus node and is travelling in a normal fashion to the heart
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2
Q
Bradycardia
Rhythm 
- Rate 
- QRS Duration 
- P wave
- P-R interval
A
  • Rhythm: regular
  • Rate: 50 - 55 BPM
  • QRS Duration: Normal
  • P wave: Normal
  • P-R interval: Normal
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3
Q

Tachycardia

  • Rhythm
  • Rate
  • QRS Duration
  • P wave
  • P-R interval
A
  • Rhythm: regular
  • Rate: 125 bpm
  • QRS Duration: normal
  • P wave: normal
  • P-R interval: normal
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4
Q

Atrial Fibrillation

  • Rhythm
  • Rate
  • QRS Duration
  • P wave
  • P-R interval
A
  • Rhythm: irregular
  • Rate: 290 bpm
  • QRS Duration: yes
  • P wave: not recognisable
  • P wave rate: none
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5
Q

Atrial flutter

  • Rhythm
  • Rate
  • QRS Duration
  • P wave
  • P-R interval
A
  • Rhythm: regular
  • Rate: 110 bpm
  • QRS Duration: normal
  • P wave: not the right shape
  • p wave rate: none
  • P-R interval: 300 bpm
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6
Q

First degree AV block

  • Rhythm
  • Rate
  • QRS Duration
  • P wave
  • P wave rate
  • P-R interval
A
  • Rhythm : regular
  • Rate: 62 bpm:
  • QRS Duration: normal
  • P wave: normal
  • P wave rate: to long
  • P-R interval: >0.2 sec
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7
Q

Second degree AV Block

  • Rhythm
  • Rate
  • QRS Duration
  • P wave
  • P wave rate
  • P-R interval
A
  • Rhythm: irregular
  • Rate: 60 - 70 bpm
  • QRS Duration: normal
  • P wave: normal
  • P wave rate: 80
  • P-R interval to long
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8
Q

Univocal PVC

  • Rhythm
  • Rate
  • QRS Duration
  • P wave
  • P wave rate
  • P-R interval
A
  • Rhythm: regular
  • Rate : 78bpm
  • QRS Duration: normal
  • P wave: normal
  • P wave rate
  • P-R interval: normal
    Early depolarisation
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9
Q

Multifocal PVC

  • Rhythm
  • Rate
  • QRS Duration
  • P wave
  • P wave rate
  • P-R interval
A
  • Rhythm:
  • Rate: 88BPM
  • QRS Duration : normal
  • P wave: normal
  • P wave rate
  • P-R interval: normal
    Early depolarisation
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10
Q
Ventricular difibulation 
Rhythm 
- Rate 
- QRS Duration 
- P wave
- P wave rate
- P-R interval
A
  • Rhythm: irregular
  • Rate: over 300
  • QRS Duration: not there
  • P wave: not there
  • P wave rate
  • P-R interval

Defib the heart

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11
Q
Flat line 
Rhythm 
- Rate 
- QRS Duration 
- P wave
- P wave rate
- P-R interval
A

Rhythm: none

  • Rate : none
  • QRS Duration : none
  • P wave: none
  • P wave rate
  • P-R interval: none
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12
Q

How to figure out rate when its regularly

A

1) 1,500 Method
- count the small boxes between two R waves
- divide by 1,500
2) 6 second strip method
- count 30 large squares = 6 seconds
- count number of R waves x 10

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13
Q

How to figure out rate with an irregular rhythm

A

6 second strip method

  • count 30 large squares = 6 seconds
  • count number of R waves x 10
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14
Q

Define regular irregular rhythm

A
  • there is a pattern
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15
Q

Define irregular irregular rhythm

A

No pattern

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16
Q

P wave

A
  • positive
  • repersents anti depolarisation
  • 2-3 mm
  • QRS complex should follow P-wave
  • duration 0.06 - 0.12
17
Q

P wave variations

1) Tall and narrow
2) wide and notched
3) Sawtooth pattern
4) no identifiable p-wave
5) variable shape

A

1) right Atrial Hypertrophy
2) left Atrial Hypertrophy
3) atrial flutter
4) atrial fibrillation
5) pulse initiated other than the SA node

18
Q

PR interval

A
  • measured from the beginning of the P wave to the beginning of the QRS
  • beginning of arterial depolarisation through to the beginning of ventricular depolarisation
  • Pr interval is .12 - .20 ( 3-5 little boxes)
19
Q

1) Short PR

2) Prolonged PR

A

1) Wolff - Parkinson - white

2) AV block

20
Q

1st Degree AV block

A
  • PR is greater than 0.2 seconds ( >5 small boxes)
  • Rhythm is regular
  • there is a QRS after every P wave
21
Q

2nd Degree AV Block type 1

A
  • Regularly irregular rhythm

- progressive lengthing of P-R until QRS complex is dropped

22
Q

2 nd Degree AV Block type 2

A
  • no lengthening of PR interval

- more P waves than QRS complex

23
Q

3rd Degree AV block

A
  • AV node no longer blocks conducts
  • P waves and QRS are still there but not related
  • QRS will look wide and unusual