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Semio > ECG > Flashcards

ECG Flashcards

(57 cards)

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1
Q

durata QRS

A

<0,12 secunde

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2
Q

QRS pozitiv in ultimul patratel

A

BRD

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3
Q

bloc de ram incomplet/minor

A

QRS<0,12s

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4
Q

QRS>0,12 s

A

bloc de ram complet sau major

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5
Q

rSR

A

BRD

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6
Q

QS negativ in V1

A

BDs

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7
Q

modificare faza terminala BRS

A

unda T inversata in V6 unde e R cel mai inalt

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8
Q

modificare daza terminala BRD

A

unda T inversata in V1

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9
Q

Rs in V1, aVR
T negativ in V1-V3
deviatie axiala dreapta

A

hipertrofie de ventricul drept

  • stenoza pulmonara
  • HTA
  • cadiopatii congenitale
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10
Q

unda T negativa in V1-V3 fara sa insemen hipertrofie ventriculara dreapta

A

=supraincarcare ventriculara dreapta (tromembolism pulmonar)

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11
Q

stenoza aortica
HTA
cardiomiopatii hipertrofice

A

hipertrofie de VS

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12
Q

insuficienta mitrala
insuficienta aortica
insuficienta mitrala

A

supraincarcare de VS

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13
Q

indice Sokolov-Lyon

A

S din V1 + R din V5 sau V6 > 35mm

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14
Q

indice Cornell

A

S din V3 + R din aVL >28 mm pt barbati (>20mm pt femei)

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15
Q

criterii hipertrofie sau supraincarcare VS

A 
indice Sokolov-Lyon >35mm
indice Cornell
subdenivelari usoare ST de la repolarizare
unda T inversata in derivatii cu R inalt
supraincarcare AD

poate
BRS
deviatie axiaa stanga

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16
Q

bloc bifasciculat

A

BRD + HBAS (hemibloc anterior stang)

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17
Q

bloc trifacicular

A

BAS grad I + bloc bifascucular

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18
Q

supradenivelari ST

D I, aVL, V4, V5, V6

A

infarct perete lateral VS (artera descendenta anterioara sau artera circumflexa)

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19
Q

supradenivelari ST

V1, V2

A

infarct perete postero anterior septal (artera descendenta anterioara)
infarct posterior izolat (artera circumflexa)

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20
Q

supradenivelari ST

V3, V4

A

infarct perete anterior Vs (artera descendenta anterioara)

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21
Q

supradenivelari ST

D I, aVL, V1-V6

A

infarct perete anterior extins (artera descendenta anterioara)

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22
Q

supradenivelari ST

D II, D III, aVF

A

infarct perete inferior (artera coronara dreapta)

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23
Q

supradenivelari ST

V3R, V4R

Study These Flashcards
A

infarct de VD

24
Q

STEMI

Study These Flashcards
A
  • primele ore: supradenivelari >1cm in devatiile membrelor adiacente si mai mari de 1-2 mm in derivatiile precordiale adiacente
  • dupa o saptamanaL T se negativeaza
  • dupa saptamani: ST izoelectric
25
Q patologic dupa infarct
durata > 0,04 s | amplitudine > 1/3 amplitudine QRS
26
NSTEMI
subdenivalari in derivatiile corescunzatoare zonei afectate
27
sindromul brugada | poate sa mai apara in infarct de perete anteriro, hiperpoatsemie, iatrogen antidepresive triciclice, febra
ECG: - BRD - J pozitivat - supradenivelari V1 V2 Clinic - sincopa - tahicardie ventriculara
28
sindrom de QT lung dobandit
antiaritmice clasa III (amiodarona, sotalol) antiaritmice clasa I (chinidina) psihotrope (fenotiazide, antidepresive triciclice) opioide (metadona)
29
unda U
repolarizarea muschilor papilari, se observa la frecvente mici simetrica, acelasi sens ca si T
30
hiperpotasemia
5,5-6,5 mmol/l T ascutite, inalte, ample QT scurt bloc fascicular (HBPS, HBAS) ``` 6,5-7,5 mmol/l P aplatizat, crescut PR crescut (BAV grad I) QRS>0,12s subdenivelari ST ``` >7,5 mmol/l asistolie
31
hipopotasemie
P crescut in deriv DII, DII, aVF subdenivelare ST progresiva QT lung unda T aplatizata extrasistole, tahicardii venticulare
32
hipermagnezemia
BAV | tub de conducereț
33
hipomagnezemia
asociata cu hipocalcemia si hiperpotasemia. aspect ecg asemanator
34
hipercalcemia
QT scurt | PR poate lung (BAV)
35
hipocalcemia
QT lung
36
pauza sinusala
absenta unei unde P
37
tahicardia sinusala
100bpm fiecare unda P urmata de QRS QRS normal sau larg
38
extrasistola atriala
unda P de depolarizare ectopica supraventriculara daca e timpurie poate sa fie blocata de NAV sau reteaua de conducere=> P fara QRS
39
extrasistola jonctionala
QRS mic si ingust fara unda P sau cu unda P inversa | pauza post extrasistolica compensatorie daca impulsurile jonctionale nu pot opri extrasistola
40
extrasistola ventriculara
QRS larg fara unde P - in VS- mod tip BRD (J pozitiv) - in VD- mod tip BRS
41
extrasistola interpolara
daca o extrasistola nu afecteaza ritmul normal
42
tahicardie QRS ingust ritm regulat | mai multe P decat QRS
tahicardie atriala | flutter atrial
43
tahicardie QRS ingust ritm regulat RP < PR RP<90ms
tahicardie nodala atrio-ventriculara prin reintrare
44
tahicardie QRS ingust ritm regulat | RP90ms
tahicardie atrioventriculara prin reintrare | tahicardie atriala
45
tahicardie QRS ingust ritm regulat | fara unde P
tahicardie nodala AV prin reintrare
46
tahicardie QRS ingust ritm neregulat
fibrilatie atriala flutter atrial tahicardie atriala multifocala
47
tahicardia atriala
ritm regulat | P diferit de P sinusal
48
tahicardia atriala multifocala
ritm neregulat | cel putin 3 unde P diferite
49
fibrilatia atriala
ritm neregulat fara unde P frecventa unde "f" 300-400/min
50
flutter atrial
ritm regulat frecventa ventriculara 150/min frecventa unde F 250-300/min
51
sindromul Wolf Parkinson White
PR scurt QRS lard unda delta la inceputul QRS =impulsul merge pe o cale accesorie
52
tahicardia ventriculara
QT lung- torsada varfurilor | QT normal- ischemie cardiaca
53
tahicardie ventriculara nesustinata
se termina dupa 30 secunde
54
fibrilatia ventriculara
fara unde P, QRS, T
55
fibrilatia ventriculara
fara unde P, QRS, T
56
digoxin
QT scurt T aplatizat ST cu subdenivelari unda U amplitudine mare
57
RA digoxin
de conducere bradicardie, BAV ``` aritmii extrasistole ventricuare tahicardie ventriculata fibrilatie ventriculata (pentru ca creste excitabilitatea?) ```

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