ECG Basics (lec 2) Flashcards

(29 cards)

1
Q

Small square shows?

A

0.04 sec and 0.1 mV

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2
Q

5 small squares?

A

= one large box

0.20 sec

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3
Q

Horizontal measurements determine?

A

heart rate

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4
Q

Isoelectric Line is?

A

flat line
no or very weak activity
use as baseline for Δ in electrical movement

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5
Q

P Wave produced by?

Duration?

A

initiation of SA node impulse,
depol of R and L atria,
impulse thru AV jxn

0.06 - 0.10 sec

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6
Q

PR Interval?

Duration?

A

start of P to start of QRS

0.12 - 0.20 sec

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7
Q

PR Segment?

A

flat line b/w end of P wave and start of QRS complex

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8
Q

QRS Complex?

Duration?

A

follows PR segment
Q = 1st neg deflection post PR seg
R = 1st + defl post Q or PR seg
S = 1st neg defl below baseline, post R

0.06 - 0.11 sec

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9
Q

ST Segment?

A

flat line post QRS complex

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10
Q

T Wave?

A

larger, asym wave post ST seg

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11
Q

J-Point?

A

where QRS complex meets ST seg

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12
Q

QT Interval from where to where?

Represents what?

Duration?

A

distance from onset of QRS Complex to end of T Wave

time of vent depol/repol

0.36 - 0.44 sec

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13
Q

Typical ECG rhythm?

A

slide 12

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14
Q

Artifact is?

A

marking not produced by heart

e.g. pt moves

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15
Q

Bipolar Leads record?

Which leads are bipolar?

A

difference in elect potential b/w electrodes

I, II, III

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16
Q

Lead I?

A

Standard Limb Lead
R wrist -> L wrist
RA neg, LA +

17
Q

Lead II?

A

Standard Limb Lead
R wrist -> L ankle
RA neg, LL +

18
Q

Lead III?

A

Standard Limb Lead
L wrist -> L ankle
LA neg, LL +

19
Q

Unipolar Leads?

Which leads are unipolar?

A

use one + electrode and reference point in center of heart

Augmented limb leads, Precordial leads

20
Q

Augmented Limb Leads?

A

use same leads as limb but only one +,

other two are grounds

21
Q

aVR?

A

R wrist
RA +
views heart base (atria, great vessels)

22
Q

aVL?

A

L wrist
LA +
views lateral wall of LV

23
Q

aVF?

A

L ankle
LL +
views inferior wall of LV

24
Q

Chest Leads?

A

precordial (horizontal plane)

all +

25
Chest Lead placement: ``` V1 V2 V3 V4 V5 V6 ```
V1 = 4th ICS, R of sternum (RV) V2 = 4th ICS, L of sternum (RV) V3 = halfway b/w V2 and V4 (septum) V4 = 5th ICS, MCL (septum) V5 = anterior axillary line, same horizontal plane as V4 V6 = midaxillary line, same V4
26
Precordial Leads view? Include which leads?
view horizontal plane, anterior and lateral views of heart V1 - V6
27
Modified Chest Leads provide?
continuous monitoring in ER, ICU, telemetry
28
Modified Chest Leads placement?
same as V1 or V6
29
Anterior Leads include? Lateral Leads include? Inferior Leads include?
V1-V4 I, aVL, V5-V6 II, III, aVF